Organization
CROSSEN FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEITH CROSSEN M.D (OWNER/PROVIDER)
(804) 921-1284
Entity
Organization
Contact information
Practice address
7603 FOREST AVE STE 301, HENRICO, VA 23229-4937
(804) 421-7404
(804) 421-7405
Mailing address
5805 RIVER RD, RICHMOND, VA 23226-3313
(804) 421-7404
(804) 421-7405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117693
ANTHEM BLUE SHIELD
VA
05
—
5642990
—
VA
Enumeration date
07/08/2006
Last updated
09/06/2023
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