Organization
BLUE RIDGE ALLERGY & ASTHMA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN BECK MD (OWNER)
(434) 977-6673
Entity
Organization
Contact information
Practice address
941 GLENWOOD STATION LANE, SUITE #103, CHARLOTTESVILLE, VA 22901-1697
(434) 977-6673
Mailing address
941 GLENWOOD STATION LANE, SUITE #103, CHARLOTTESVILLE, VA 22901-1697
(434) 977-6673
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
0101225810
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
323663
BCBS
VA
Enumeration date
10/18/2006
Last updated
08/16/2010
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