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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
MRS. EVELYN C HOUCHENS CPMSM CPCS (DIRECTOR MEDICAL STAFF SERVICES)
(804) 828-8707
Entity
Organization

Contact information

Practice address
1250 E MARSHALL STREET, ANESTHESIOLOGY C03042, RICHMOND, VA 23298-0510
(804) 828-8707
(807) 828-8765
Mailing address
1250 E MARSHALL STREET, ANESTHESIOLOGY C03042, RICHMOND, VA 23298-0510
(804) 828-8707
(807) 828-8765

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207LA0401X
Addiction Medicine (Anesthesiology) Physician
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5734371
VA
Enumeration date
07/13/2006
Last updated
05/20/2008
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