Organization
NICANOR B. CONCEPCION, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICANOR B. CONCEPCION M.D. (PHYSICIAN)
(276) 679-6145
Entity
Organization
Contact information
Practice address
624 PARK AVENUE, NORTON, VA 24273-0909
(276) 679-6145
Mailing address
P.O. BOX 1171, NORTON, VA 24273-0909
(276) 679-6145
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101037635
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7554796
—
VA
Enumeration date
08/04/2010
Last updated
08/04/2010
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