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NPI Code Detail

MEDICARE: DR. GARY THOMAS KIRCHHOFF M.D.

MEDICARE: DR. GARY THOMAS KIRCHHOFF M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician0101212342VA

General Provider Information

NPI Number : 1649231614
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY THOMAS KIRCHHOFF M.D.
Provider Business Mailing Address
First Line : 189 MIDDLECREEK CT
Second Line :
City : MONETA
State : VA
Zip : 24121-5219
Country : US
Telephone Number : 540-721-2748
Fax Number : 540-721-2748
Provider Business Practice Location Address
First Line : 801 SOUTH ADAMS STREET
Second Line :
City : PETERSBURG
State : VA
Zip : 23803-5133
Country : US
Telephone Number : 804-862-5000
Fax Number : 804-862-5948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2006
Last Update Date : 07/08/2007

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