Individual
MATTHEW STICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 ATMORE DR, RICHMOND, VA 23225-5644
(804) 674-3000
Mailing address
PO BOX 248, BASYE, VA 22810-0248
(703) 494-5200
(888) 534-2234
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101041202
VA
207W00000X
Ophthalmology Physician
0101041202
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006303242
—
VA
01
—
236037
PTAN
DC
01
—
451960
BCBS
VA
Enumeration date
10/11/2006
Last updated
11/13/2023
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