Individual
DR. ALFRED SPENCER GERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., MBA
Contact information
Practice address
9702 GAYTON RD # 327, RICHMOND, VA 23238-4907
(804) 784-9012
(804) 784-9016
Mailing address
1 ROADS END LN, RICHMOND, VA 23238-6109
(804) 784-9012
(804) 784-9016
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36192
VA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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