Organization
BON SECOURS-VIRGINIA HEALTHSOURCE INC
Active
Other names
BON SECOURS SURGICAL SPECIALIST AT ST FRANCIS MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
13700 ST FRANCIS BLVD, MOB- SUITE 301, MIDLOTHIAN, VA 23114
(804) 423-8467
(804) 726-1539
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06695
GROUP PTAN
VA
Enumeration date
03/14/2011
Last updated
06/14/2019
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