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Organization

VALLEY PHYSICIAN ENTERPRISE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
(540) 536-0103
Entity
Organization

Contact information

Practice address
1870 AMHERST ST, WINCHESTER, VA 22601
(540) 536-0110
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2888
(540) 536-5100

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
174400000X
Specialist
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RC0001X
Clinical Cardiac Electrophysiology Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
207XX0801X
Orthopaedic Trauma Physician
208100000X
Physical Medicine & Rehabilitation Physician
2084N0400X
Neurology Physician
2084N0600X
Clinical Neurophysiology Physician
2084P0800X
Psychiatry Physician
208600000X
Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Other

Enumeration date
08/25/2008
Last updated
01/09/2025
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