Commonwealth Family Practice Ltd

NPI #1215936547 in Chesterfield, Virginia

Provider Information

NPI Number: 1215936547
Entity Type: Organization
Organization Name: Commonwealth Family Practice Ltd
Primary Specialty: General Practice
Enumeration Date: Jul 19, 2005
Last Updated: Apr 20, 2008

Practice Location

Address: 10201 KRAUSE RD
City: Chesterfield
State: Virginia
ZIP Code: 23832-6575
Phone: (804) 748-6229

Authorized Official

Name: DR. MARIANNE LAND SIEGRIST, DO
Title: VICE PRESIDENT CEO
Phone: (804) 748-6229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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