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Organization

MCV ASSOCIATED PHYSICIANS

Active
Parent organization
MCV ASSOCIATED PHYSICIANS
Other names
MCV Physicians
Organization subpart
Yes

Provider details

NPI number
Legal business name
MCV ASSOCIATED PHYSICIANS
Authorized official
EVELYN C HOUCHENS CPMSM CPCS (DIRECTOR MEDICAL STAFF SERVICES)
(804) 828-8707
Entity
Organization

Contact information

Practice address
1250 E MARSHALL STREET, FAMILY MEDICINE, RICHMOND, VA 23298-0510
(804) 828-9626
(804) 828-5856
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
VA
363AM0700X
Medical Physician Assistant
VA
363L00000X
Nurse Practitioner
VA
363LF0000X
Family Nurse Practitioner
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5734371
VA
Enumeration date
05/28/2008
Last updated
05/28/2008
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