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Organization

BRIETER T C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD MOLUHN (CEO)
(804) 389-6910
Entity
Organization

Contact information

Practice address
115 S 15TH ST, RICHMOND, VA 23219-4252
(804) 389-6910
Mailing address
115 S 15TH ST, RICHMOND, VA 23219-4252
(804) 389-6910

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
0105215784
VA

Other

Enumeration date
08/15/2012
Last updated
09/18/2012
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