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Richard Bagnall MD NPI 1003803149

Classification
Family Medicine
Type
License No.
101102591
License State
VA
Certified
Location

Additional Identifiers

Medical School
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year
1998
Identifier
Type
State
Identifier: G96987
Type: MEDICARE UPIN (02)
State:
Identifier: 021659R53
Type: MEDICARE PIN (08)
State: VA
Identifier: 1003803149
Type: MEDICAID (05)
State: VA
Identifier: P00616651
Type: MEDICARE PIN (08)
State: VA

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
120 KINGS WAY, WILLIAMSBURG, VA, 23185
Business Phone
757-345-2555
Mailing Address
856 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA, 236011318
Mailing Phone
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