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Individual

JOHN THOMAS VERNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 E BROAD ST, EIGHTH FLOOR, EAST WING, ROOM #8-209C, RICHMOND, VA 23298-5058
(804) 628-8526
Mailing address
1200 E BROAD ST, PO BOX 980710, RICHMOND, VA 23298-5058
(804) 628-8526

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101247552
VA

Other

Enumeration date
01/04/2007
Last updated
06/23/2010
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