Organization
MOUNTAIN RIDGE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE S HUTTON M.D. (OWNER)
(540) 560-4676
Entity
Organization
Contact information
Practice address
2054 PRO POINTE LN, HARRISONBURG, VA 22801-8021
(540) 560-4676
Mailing address
2054 PRO POINTE LN, HARRISONBURG, VA 22801-8021
(540) 560-4676
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101242820
VA
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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