Organization · Type 2 NPI

Bon Secours-Virginia Healthsource

Hematology & Oncology Physician · Richmond, VA

NPI number 1073789285 Active

Practice location

5875 Bremo Rd, Suite G-11
Richmond, VA 23226

Fax (804) 287-7178

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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NPI record

NPI: 1073789285
Entity type: Organization (Type 2)
Issued: May 7, 2008
Last updated: Jul 27, 2018
Status: Active
Subpart: Yes of Bon Secours-Virginia Healthsource

Other names

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Bon Secours Medical Group Oncology Associates · doing business as
Bon Secours Medical Group Oncology Associates · doing business as

Authorized official

Mr. George O Butler, MBA
Director, Corporate Responsibility
(804) 281-0271

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About NPI 1073789285

Bon Secours-Virginia Healthsource's National Provider Identifier is 1073789285, issued on May 7, 2008. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Richmond, VA. The record was last updated on Jul 27, 2018.