Organization
UROLOGY SPECIALISTS OF RICHMOND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SMITH (VICE PRESIDENT)
(804) 237-7760
Entity
Organization
Contact information
Practice address
7137 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 232-0226
(804) 232-0229
Mailing address
7137 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 232-0226
(804) 232-0229
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568529113
—
VA
Enumeration date
01/02/2007
Last updated
07/21/2022
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