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Individual

SUSAN LEWIS PILLSBURY DAVID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2500 POCOSHOCK PL, SUITE 302, RICHMOND, VA 23235-6345
(804) 674-1985
(804) 276-1048
Mailing address
2500 POCOSHOCK PL, SUITE 302, RICHMOND, VA 23235-6345
(804) 674-1985
(804) 276-1048

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101032090
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006712673
VA
01
101050
CIGNA
VA
01
1201444
UNITED HEALTHCARE
VA
01
231002
ANTHEM
VA
01
4063667
AETNA
VA
01
541817338
FEDERAL TAX ID
VA
01
9750
SOUTHERN HEALTH
VA
Enumeration date
01/30/2006
Last updated
12/27/2010
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