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Organization

ENDE MEDICAL PRACTICE, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STEFANIE LEA EADS RN (BILLING CLERK)
(804) 733-8909
Entity
Organization

Contact information

Practice address
121 S MARKET ST, PETERSBURG, VA 23803-4217
(804) 733-8771
(804) 733-1017
Mailing address
121 S MARKET ST, PETERSBURG, VA 23803-4217
(804) 733-8771
(804) 733-1017

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
03/29/2007
Last updated
04/26/2010
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