Organization
VALLEY PHYSICIAN ENTERPRISE, INC.
Active
Parent organization
VALLEY PHYSICIAN ENTERPRISE, INC.
Other names
Valley Health Plastic and Reconstructive Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
VALLEY PHYSICIAN ENTERPRISE, INC.
Authorized official
RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
(540) 536-5100
Entity
Organization
Contact information
Practice address
190 CAMPUS BLVD STE 310, WINCHESTER, VA 22601-2872
(540) 536-0130
(540) 536-0140
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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