Organization
COMMONWEALTH PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI BURTON (BILLING)
(804) 355-4545
Entity
Organization
Contact information
Practice address
4906 CUTSHAW AVE, SUITE 105, RICHMOND, VA 23230-3630
(804) 355-7805
Mailing address
4906 CUTSHAW AVE, SUITE 105, RICHMOND, VA 23230-3630
(804) 355-4545
(804) 355-7805
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007173253
—
VA
Enumeration date
05/19/2006
Last updated
08/10/2011
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