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NPI Code Detail

MEDICARE: DR. WILLARD PHAUP MILBY III MD

MEDICARE: DR. WILLARD PHAUP MILBY III MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician0101038664VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3220025030OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
228795OTHEROPTIMAHEALTH

General Provider Information

NPI Number : 1699775809
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLARD PHAUP MILBY III MD
Provider Business Mailing Address
First Line : PO BOX 5468
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24115-5468
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7101 JAHNKE RD
Second Line :
City : RICHMOND
State : VA
Zip : 23225-4017
Country : US
Telephone Number : 804-323-8820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 09/28/2018

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Directions to “ DR. WILLARD PHAUP MILBY III MD” Practice Location

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