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Individual

JOHN CHUONG QUANG LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2010 BREMO RD STE 128, RICHMOND, VA 23226-2444
(804) 285-0680
Mailing address
PO BOX 1290, FOREST, VA 24551-1290
(434) 385-5600
(434) 455-7172

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101255895
VA
390200000X
Student in an Organized Health Care Education/Training Program
VA

Other

Enumeration date
06/01/2012
Last updated
09/19/2019
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