Individual
AUSTIN J BARONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9274
(225) 931-0502
Mailing address
947 MYERS ST APT 332, RICHMOND, VA 23230-4812
(225) 931-0502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009276
VA
Other
Enumeration date
02/03/2021
Last updated
08/11/2023
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