Individual
DAVID GLENN WITHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 E. MARSHALL ST, BOX 980509, RICHMOND, VA 23298
(804) 828-8786
(804) 828-5466
Mailing address
1250 E. MARSHALL ST, BOX 980509, RICHMOND, VA 23298
(804) 828-8786
(804) 828-5466
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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