Whalio Doctors

NPI 1013091115

Commonwealth Dermatology, PC

Organisation Dermatology Physician Richmond, VA

Practice location

Address
7001 Forest Ave STE. 400, Richmond, VA 23230-1726
Phone
(804) 282-0831
Fax
(804) 288-7135

Authorised official

Name
Hazle Konerding
Title
President
Phone
(804) 282-0831

Registered specialties (7)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 0101026447 (VA)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 0101233942 (VA)
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 0101238054 (VA)
Pediatric Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence 0101053332 (VA)
Pediatric Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence 0101044250 (VA)
Acute Care Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2100X Licence 0017137835 (VA)
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 0017138217 (VA)

Registry record

NPI
1013091115
Entity type
Organization
NPI issued
25 Oct 2006
Record last updated
3 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.