NPI 1023166030
Patient First
Practice location
- Address
- 11020 Hull Street Rd, Midlothian, VA 23112-3200
- Phone
- (804) 744-6310
- Fax
- (804) 744-9199
- Mailing address
- 5000 Cox Rd STE 100, Glen Allen, VA 23060-9263
Authorised official
- Name
- Betsy Homa
- Title
- Dms
- Phone
- (804) 744-6310
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1023166030
- Entity type
- Organization
- NPI issued
- 8 Jan 2007
- Record last updated
- 22 Aug 2020
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.