Individual
VELMA L BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1320 CENTRAL PARK BLVD, FREDERICKSBURG, VA 22401-4942
(540) 785-9500
(866) 601-0609
Mailing address
1320 CENTRAL PARK BLVD, FREDERICKSBURG, VA 22401-4942
(540) 785-9500
(866) 601-0609
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001907
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010128749
—
VA
01
—
0110001907
LICENSE
VI
01
—
C10275
MEDICARE GROUPS
—
Enumeration date
10/27/2006
Last updated
01/23/2009
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