Individual
WILLIAM R POLHAMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
13710 ST FRANCIS BLVD, MIDLOTHIAN, VA 23114-3267
(804) 594-7300
Mailing address
1115 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001563
VA
363AS0400X
Surgical Physician Assistant
0110001563
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008947104
—
VA
01
—
0536798
AETNA HMO
VA
01
—
0900325
UNITED HEALTHCARE
VA
01
—
100679
ANTHEM HEALTHKEEPERS
VA
01
—
287174
SOUTHERN HEALTH
VA
01
—
31213
SH CARENET
VA
01
—
540885859
CIGNA
VA
01
—
P00011038
RAILROAD MEDICARE
VA
Enumeration date
06/13/2006
Last updated
09/08/2025
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