Woodlake Village Pediatrics LLC
NPI #1578681946 in Midlothian, Virginia
Provider Information
- NPI Number
- 1578681946
- Entity Type
- Organization
- Organization Name
- Woodlake Village Pediatrics LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 26, 2007
- Last Updated
- May 22, 2008
Practice Location
- Address
- 14732 VILLAGE SQUARE PL
- City
- Midlothian
- State
- Virginia
- ZIP Code
- 23112-2253
- Phone
- (804) 639-0717
Authorized Official
- Name
- JENNIFER DIANE CLARK, MD
- Title
- OWNER
- Phone
- (804) 639-0717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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