Organization
VCU HEALTH AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SIEGEL (CHIEF FINANCIAL OFFICER)
(804) 628-1624
Entity
Organization
Contact information
Practice address
11958 W BROAD ST FL 5, HENRICO, VA 23233-1007
(804) 364-6640
Mailing address
7818 E PARHAM RD FL 3, RICHMOND, VA 23294-4302
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
11/07/2023
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