MEDICARE: VIRGINIA EMERGENCY AND OCCUPATIONAL PHYSICIANS PC

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
1	207P00000X	Emergency Medicine Physician		VA

General Provider Information

NPI Number	:	1265497929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA EMERGENCY AND OCCUPATIONAL PHYSICIANS PC

Provider Business Mailing Address
First Line	:	7700 E PARHAM RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23294-4301
Country	:	US
Telephone Number	:	804-747-8770
Fax Number	:	804-747-5746

Provider Business Practice Location Address
First Line	:	7700 E PARHAM RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23294-4301
Country	:	US
Telephone Number	:	804-747-8770
Fax Number	:	804-747-5746

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DALE EVERETT SLAGEL
Credential	:	MD
Telephone Number	:	804-527-5945

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	08/29/2007

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