Organization
BON SECOURS VIRGINIA MEDICAL GROUP I, LLC
Active
Other names
Bon Secours Pediatric Gastroenterology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILITY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
5875 BREMO RD, SUITE 303, RICHMOND, VA 23226-1934
(804) 281-8303
(804) 287-7801
Mailing address
5875 BREMO RD, SUITE 303, RICHMOND, VA 23226-1934
(804) 281-8303
(804) 287-7801
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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