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Individual

DR. ELIZABETH JODY CROGNALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7702 E PARHAM RD, SUITE 101, RICHMOND, VA 23294-4371
(804) 288-7901
(804) 273-9167
Mailing address
7702 E PARHAM RD, SUITE 101, RICHMOND, VA 23294-4371
(804) 288-7901
(804) 273-9167

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101057901
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5857465
VA
Enumeration date
05/09/2006
Last updated
07/08/2007
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