Organization
VIRGINIA EM-I MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOYD R. WICKIZER MD (MEDICAL DIRECTOR)
(804) 862-5680
Entity
Organization
Contact information
Practice address
801 S ADAMS ST, PETERSBURG, VA 23803-5149
(804) 862-5680
(804) 862-5698
Mailing address
100 WITMER RD, SUITE 220, HORSHAM, PA 19044-2211
(215) 442-5021
(215) 957-2875
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
04/20/2008
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