Individual
JOHN SIMMONS DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 N 11TH ST, RICHMOND, VA 23298-5024
(804) 828-6685
(804) 827-0503
Mailing address
1250 E MARSHALL ST # 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116037847
VA
208000000X
Pediatrics Physician
0116037847
VA
Other
Enumeration date
04/25/2021
Last updated
06/04/2024
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