NPI 1023360112

Premise Health of Virginia Medical, P.C

Organisation General Practice Physician Richmond, VA

Practice location

Address: 6601 W Broad St, Richmond, VA 23230-1723
Phone: (804) 484-8891
Mailing address: 5500 Maryland Way STE 400, Brentwood, TN 37027-4948

Authorised official

Name: Jon Leizman
Title: President
Phone: (216) 479-9063

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Virginia →

Registry record

NPI: 1023360112
Entity type: Organization
NPI issued: 12 Oct 2012
Record last updated: 15 Aug 2022

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.