Healthcare Provider Details

I. General information

NPI: 1790745339
Provider Name (Legal Business Name): MICHAEL JOSEPH FRANCIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 03/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

659 HOSPITAL ROAD RIVERSIDE MEDICAL ARTS BUILDING A, SUITE 203
TAPPAHANNOCK VA
22560
US

IV. Provider business mailing address

508 LAKE DR
TAPPAHANNOCK VA
22560-5630
US

V. Phone/Fax

Practice location:
  • Phone: 804-443-6232
  • Fax:
Mailing address:
  • Phone: 804-443-1299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101238739
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: