Healthcare Provider Details

I. General information

NPI: 1174608053
Provider Name (Legal Business Name): MICHAEL ARMSTRONG JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 08/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 STONY POINT PKWY SUITE 110
RICHMOND VA
23235-1962
US

IV. Provider business mailing address

8700 STONY POINT PKWY SUITE 110
RICHMOND VA
23235-1968
US

V. Phone/Fax

Practice location:
  • Phone: 804-330-5501
  • Fax: 804-272-4504
Mailing address:
  • Phone: 804-330-5501
  • Fax: 804-272-4504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number0101052066
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number0101052066
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number0101052066
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: