Individual
DR. RACHEL M. SELBY-PENCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(828) 530-6804
(828) 398-3804
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1745
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101058351
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101058351
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5829569
—
VA
Enumeration date
10/13/2006
Last updated
02/12/2013
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