Organization · Type 2 NPI
Old Glory Personalized Health
Critical Care Medicine (Anesthesiology) Physician · Richmond, VA
Practice location
2108 W Laburnum Ave Ste 230
Richmond, VA 23227-4300
Fax (804) 441-7346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician Primary | 207LC0200X | None listed |
Critical Care Medicine (Anesthesiology) Physician: An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
2 other providers at this address
About NPI 1093661290
Old Glory Personalized Health's National Provider Identifier is 1093661290, issued on Mar 9, 2026. The primary taxonomy on file is Critical Care Medicine (Anesthesiology) Physician (207LC0200X), and the practice location is in Richmond, VA. The record was last updated on Mar 9, 2026.