Organization
PROMEDICAL SERVICES, INC.
Active
Organization
PROMEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOGAN S BOSIGER (PRACTICE MANAGER)
(434) 851-2052
Entity
Organization
Contact information
Practice address
30 MONICA BLVD, LYNCHBURG, VA 24502-2269
(434) 515-1247
Mailing address
1102 COMMERCE ST # H, LYNCHBURG, VA 24504-1719
(434) 944-0304
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
0101102727
VA
Other
Enumeration date
03/19/2015
Last updated
05/28/2019
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