Organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
Active
Parent organization
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
Other names
Bon Secours Capitol OB/GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
1510 N 28TH ST, SUITE 305, RICHMOND, VA 23223-5311
(804) 371-1689
(804) 371-1678
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
Enumeration date
11/19/2010
Last updated
07/10/2019
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