Blacksburg Pediatrics, Plc
NPI #1548719859 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1548719859
- Entity Type
- Organization
- Organization Name
- Blacksburg Pediatrics, Plc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 27, 2016
- Last Updated
- Sep 27, 2016
Practice Location
- Address
- 817 DAVIS ST
- Address 2
- SUITE A
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060-7004
- Phone
- (540) 443-3940
Authorized Official
- Name
- DAVID EDWIN BERRY, D.O, PH.D.
- Title
- MANAGER
- Phone
- (540) 443-3940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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