Organization
PEDIATRIC GASTROENTEROLOGY OF RICHMOND, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN VILLALONA MD (OWNER)
(804) 888-7337
Entity
Organization
Contact information
Practice address
7229 FOREST AVE, SUITE 105, RICHMOND, VA 23226-3765
(804) 888-7337
Mailing address
7229 FOREST AVE, SUITE 105, RICHMOND, VA 23226-3765
(804) 888-7337
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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