Organization
CLINCH VALLEY SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HONG J JUN M.D. (OWNER)
(276) 596-6631
Entity
Organization
Contact information
Practice address
2951 FRONT ST, SUITE 3800, RICHLANDS, VA 24641-2055
(276) 596-6631
(276) 596-6633
Mailing address
2951 FRONT ST, SUITE 3800, RICHLANDS, VA 24641-2055
(276) 596-6631
(276) 596-6633
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101242107
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689713620
INDIVIDUAL NPI
VA
Enumeration date
09/17/2008
Last updated
09/17/2008
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