Individual
VICTORIA L GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9816 MAYLAND DR, 100, RICHMOND, VA 23233-1457
(804) 282-8510
(804) 285-5750
Mailing address
9816 MAYLAND DR, 100, RICHMOND, VA 23233-1457
(804) 282-8510
(804) 285-5750
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101243534
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070000459
MEDICARE
VA
01
—
1568558625
UNITED HEALTHCARE
VA
01
—
3183614
AETNA
VA
01
—
355555
ANTHEM
VA
01
—
885825
SOUTHERN HEALTH
VA
01
—
9186914
CIGNA
VA
Enumeration date
10/05/2006
Last updated
02/06/2014
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