Organization
BON SECOURS-VIRGINIA HEALTHSOURCE
Active
Other names
Bon Secours MRI of Richmond
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE O BUTLER (DIRECTOR CORPORATE RESPONSIBILTY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
7110 FOREST AVE, SUITE 100, RICHMOND, VA 23226
(804) 673-4200
(804) 673-6513
Mailing address
7110 FOREST AVE, SUITE 100, RICHMOND, VA 23226-3786
(804) 673-4200
(804) 673-6513
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06695
GROUP PTAN
VA
Enumeration date
02/10/2012
Last updated
07/27/2018
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