Healthcare Provider Details

I. General information

NPI: 1245337443
Provider Name (Legal Business Name): VIRGINIA PHYSICIANS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 WADSWORTH DR
RICHMOND VA
23236-4510
US

IV. Provider business mailing address

3000 WATER COVE RD
MIDLOTHIAN VA
23112-3982
US

V. Phone/Fax

Practice location:
  • Phone: 804-228-3627
  • Fax: 804-560-1312
Mailing address:
  • Phone: 804-744-0200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL A DELLAMAR
Title or Position: COO
Credential:
Phone: 804-726-8571