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Individual

DR. JULIOUS PERRY SMITH III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5899 BREMO RD, SUITE 100, RICHMOND, VA 23226-1935
(804) 288-8512
(804) 288-4552
Mailing address
1115 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101055368
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
101055368
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006408206
VA
01
0900887
UNITED HEALTHCARE
VA
05
1518909670
VA
01
19707
SH CARENET
VA
01
200037874
RAILROAD MEDICARE
VA
01
2138347
UNITED HEALTHCARE MAMSI
VA
01
216268
ANTHEM HEALTHKEEPERS
VA
01
2320408
AETNA HMO
VA
01
288989
SOUTHERN HEALTH
VA
01
31621
OPTIMA HEALTH
VA
01
386541
ANTHEM WEST END OPERATORY
VA
01
540885859
CIGNA
VA
Enumeration date
06/12/2006
Last updated
09/16/2020
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