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Individual

DR. JACOB MICHAEL AMBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 E LEIGH ST, RICHMOND, VA 23298-5004
(804) 828-7999
Mailing address
PO BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101285955
VA

Other

Enumeration date
04/28/2021
Last updated
06/30/2025
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