Organization
SYCAMORE PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD BOBBY DUHART JR. MD (OWNER)
(804) 862-9615
Entity
Organization
Contact information
Practice address
200 S SYCAMORE ST, PETERSBURG, VA 23803-4267
(804) 862-9615
(804) 862-9625
Mailing address
200 S SYCAMORE ST, PETERSBURG, VA 23803-4267
(804) 862-9615
(804) 862-9625
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101049105
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010019401
—
VA
Enumeration date
06/08/2007
Last updated
04/11/2014
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