Organization
CENTRAL VIRGINIA OCCUHEALTH, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D. MCGOWAN M.D. (PRESIDENT)
(804) 254-5467
Entity
Organization
Contact information
Practice address
2621 GROVE AVE, RICHMOND, VA 23220-4308
(804) 254-5467
(804) 254-9898
Mailing address
PO BOX 11768, RICHMOND, VA 23230-0168
(804) 353-4000
(804) 213-9783
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09637
MEDICARE GROUP NUMBER
—
Enumeration date
03/20/2006
Last updated
08/22/2020
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