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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, 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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