Organization
MCV ASSOCIATED PHYSICIANS
Active
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, MCV HOSPITALS VCU MEDICAL CENTER, RICHMOND, VA 23298-0510
(804) 828-8707
(804) 828-8765
Mailing address
1250 E MARSHALL STREET, PM&R C03697, RICHMOND, VA 23298-0510
(804) 828-8707
(804) 828-8765
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2083A0100X
Aerospace Medicine Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5734371
—
VA
Enumeration date
07/11/2006
Last updated
05/20/2008
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