Individual
COLIN ALEXANDER MUDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 MAPLE AVE, SUITE 200, NW MOB, RICHMOND, VA 23226-2553
(804) 285-2300
(804) 285-8420
Mailing address
PO BOX 71690, RICHMOND, VA 23255-1690
(804) 288-2830
(804) 288-2850
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101258423
VA
207X00000X
Orthopaedic Surgery Physician
2014-00777
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568699841
—
VA
Enumeration date
06/15/2009
Last updated
08/14/2019
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