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NPI Code Detail

MEDICARE: DOC OUT OF THE BOX, LLC

MEDICARE: DOC OUT OF THE BOX, LLC
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
1207Q00000XFamily Medicine Physician0101057306VA

General Provider Information

NPI Number : 1053327262
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOC OUT OF THE BOX, LLC
Provider Business Mailing Address
First Line : 285 CLARK POINT DR
Second Line :
City : WHITE STONE
State : VA
Zip : 22578-2832
Country : US
Telephone Number : 804-436-6873
Fax Number : 866-260-0610
Provider Business Practice Location Address
First Line : 1776 CAMBRIDGE DR
Second Line :
City : RICHMOND
State : VA
Zip : 23238-3203
Country : US
Telephone Number : 804-436-6873
Fax Number : 866-260-0610
Authorized Official
Title or Position : OWNER
Name : DR. JAMES LEE WRIGHT
Credential : MD, PHD
Telephone Number : 804-436-6873
Provider Enumeration Date : 07/31/2006
Last Update Date : 01/15/2019

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Directions to “DOC OUT OF THE BOX, LLC ” Practice Location

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