NPI 1013091115
Commonwealth Dermatology, PC
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
Dermatology Physician
MOHS-Micrographic Surgery Physician
Pediatric Dermatology Physician
Pediatric Dermatology Physician
Acute Care Nurse Practitioner
Family Nurse Practitioner
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.