Individual
MR. EDUARDO GUSTAVO ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5899 BREMO RD, SUITE 100, RICHMOND, VA 23226-1935
(804) 288-8512
(804) 288-4552
Mailing address
12907 SIR SCOTT TER, CHESTER, VA 23831-4700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001336
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008939942
—
VA
Enumeration date
08/28/2006
Last updated
12/05/2007
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