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Organization

SUCTECK, INC

Active
Other names
Valley Family & Procedural Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES A MIDDELHOF MD (OWNER/PHYSICIAN)
(540) 868-2511
Entity
Organization

Contact information

Practice address
640 WARRIOR DR, SUITE 109, STEPHENS CITY, VA 22655-4076
(540) 868-2511
(540) 868-9105
Mailing address
640 WARRIOR DR, SUITE 109, STEPHENS CITY, VA 22655-4076
(540) 868-2511
(540) 868-9105

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770768731
VA
Enumeration date
01/08/2008
Last updated
07/14/2009
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