VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM NPI 1336367630

NPI Information

VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM is a clinic center in Richmond, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM NPI is 1336367630. The provider is registered as an organization entity type.
The provider Is Doing Business As Vcu Sports Medicine-vcu Sports Medicine.

The provider's business location address is:

1300 W BROAD ST
RICHMOND, VA
ZIP 23284-089
Phone: (804) 828-6315

The provider's authorized official is Dominic J Puleo .
The authorized official title is Cfo and has the following contact phone number (804) 828-1295.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 12/31/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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