Organization
ALLERGY & ASTHMA SPECIALISTS OF VIRGINIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA J DAFFERN MD (PRESIDENT)
(804) 559-8055
Entity
Organization
Contact information
Practice address
7489 RIGHT FLANK RD, SUITE 300, MECHANICSVILLE, VA 23116-3845
(804) 559-8055
(804) 559-6920
Mailing address
7489 RIGHT FLANK RD, SUITE 300, MECHANICSVILLE, VA 23116-3845
(804) 559-8055
(804) 559-6920
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043309107
INDIVIDUAL NPI
VA
01
—
1932130531
INDIVIDUAL NPI
VA
Enumeration date
05/20/2009
Last updated
08/03/2012
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