Ear Nose and Throat Specialist of Central Virginia

NPI #1174597785 in Richmond, Virginia

Provider Information

NPI Number: 1174597785
Entity Type: Organization
Organization Name: Ear Nose and Throat Specialist of Central Virginia
Primary Specialty: Otolaryngology
Enumeration Date: Feb 13, 2006
Last Updated: Jul 31, 2014

Practice Location

Address: 1800 GLENSIDE DR STE 120
City: Richmond
State: Virginia
ZIP Code: 23226-3769
Phone: (804) 288-4121

Authorized Official

Name: MRS. JUDITH L. TAYLOR
Title: ADMINISTRATOR
Phone: (804) 288-4121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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