Organization
PEDIATRIC ASSOCIATES OF WINCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET DENISE GIBSON (INSURANCE COORDINATOR/ACCTS RECEIVA)
(540) 662-3853
Entity
Organization
Contact information
Practice address
1002 AMHERST ST, BLDG C, WINCHESTER, VA 22601-3323
(540) 662-3853
(540) 662-0336
Mailing address
1002 AMHERST ST, BLDG C, WINCHESTER, VA 22601-3323
(540) 662-3853
(540) 662-0336
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001745
—
WV
Enumeration date
08/27/2006
Last updated
06/18/2008
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