Organization
DR. PHILLIP Y SHOU PC
Active
Other names
Dr. phillip y shou pc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP Y SHOU M.D (OFFICER)
(804) 526-3821
Entity
Organization
Contact information
Practice address
2801 BOULEVARD, SUITE D, COLONIAL HEIGHTS, VA 23834-2323
(804) 526-3821
(804) 526-6065
Mailing address
2801 BOULEVARD, SUITE D, COLONIAL HEIGHTS, VA 23834-2323
(804) 526-3821
(804) 526-6065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101041517
VA
208000000X
Pediatrics Physician
0101041517
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6751300
—
VA
Enumeration date
07/06/2010
Last updated
07/06/2010
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