Organization
VALLEY VASCULAR ACCESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENICK RONGA (ADMINISTRATOR)
(804) 655-6150
Entity
Organization
Contact information
Practice address
4700 WHITESBURG DR SW STE 300, HUNTSVILLE, AL 35802-1685
(804) 655-6150
Mailing address
8730 STONY POINT PKWY STE 175, RICHMOND, VA 23235-1952
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
05/19/2022
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