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Individual

DR. REPS BARNES SUNDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7611 FOREST AVE, SUITE 210, RICHMOND, VA 23229-4946
(804) 290-0909
(804) 290-0333
Mailing address
7611 FOREST AVE, SUITE 210, RICHMOND, VA 23229-4946
(804) 290-0909
(804) 290-0333

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101247125
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841320728
VA
Enumeration date
03/07/2007
Last updated
12/15/2011
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