Organization
BON SECOURS ST. FRANCIS MEDICAL CENTER INC
Active
Other names
Care Diabetes and Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
3660 BOULEVARD STE G, COLONIAL HEIGHTS, VA 23834-1345
(804) 526-5566
(804) 526-5568
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
11/15/2011
Last updated
07/18/2019
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