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Organization

DR. ZELDA WEST JOHNSON & ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ZELDA WEST JOHNSON M.D. (MANAGING MEMBER)
(804) 644-5440
Entity
Organization

Contact information

Practice address
101 COWARDIN AVE, SUITE 307, RICHMOND, VA 23224-2078
(804) 644-5440
(804) 497-3397
Mailing address
PO BOX 8001, RICHMOND, VA 23223-0001
(804) 644-5440
(804) 497-3397

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101057120
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005602912
VA
05
005630070
VA
Enumeration date
01/24/2007
Last updated
05/24/2011
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