Organization
COMMONWEALTH ANESTHESIA ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE DONALD (ADMINISTRATOR)
(804) 594-2622
Entity
Organization
Contact information
Practice address
10800 MIDLOTHIAN TPKE, SUITE 265, RICHMOND, VA 23235-4724
(804) 594-2622
(804) 594-0915
Mailing address
PO BOX 35808, RICHMOND, VA 23235-0808
(804) 594-2622
(804) 594-0915
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC5016
RAILROAD MEDICARE
VA
01
—
CH9191
RAILROAD MEDICARE
VA
01
—
CM7959
RAILROAD MEDICARE
VA
Enumeration date
07/30/2006
Last updated
11/01/2007
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