Organization
BON SECOURS ST. FRANCIS MEDICAL CENTER INC
Active
Parent organization
BON SECOURS ST. FRANCIS MEDICAL CENTER INC
Other names
BON SECOURS NEUROLOGY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS ST. FRANCIS MEDICAL CENTER INC
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
11601 IRON BRIDGE RD STE 207, CHESTER, VA 23831-1468
(804) 285-6880
(804) 706-1585
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
01/18/2010
Last updated
07/19/2019
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