Individual provider · Type 1 NPI
Alfred Spencer Gervin, MD, MBA
Specialist · Richmond, VA
NPI number
1912056771
Active
Practice location
9702 Gayton Rd # 327
Richmond, VA 23238-4907
Fax (804) 784-9016
Mailing address
1 Roads End Ln
Richmond, VA 23238-6109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 36192 (VA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1912056771
Alfred Spencer Gervin, MD, MBA's National Provider Identifier is 1912056771, issued on Jan 10, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Richmond, VA. The record was last updated on Jul 8, 2007.