Organization
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Active
Other names
Bon Secours Cancer Institute Surgical Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILITY)
(804) 893-8681
Entity
Organization
Contact information
Practice address
5855 BREMO RD, SUITE 606, RICHMOND, VA 23226-1930
(804) 893-8681
(804) 287-8525
Mailing address
5855 BREMO RD, SUITE 606, RICHMOND, VA 23226-1930
(804) 893-8681
(804) 287-8525
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
01/18/2013
Last updated
10/24/2018
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