Organization · Type 2 NPI

Commonweatlh of Virginia State Board of Health

Public Health or Welfare Agency · Gloucester, VA

NPI number 1992767131 Active

Practice location

6882 Main Street
Gloucester, VA 23061-0663

Call (804) 758-2381 Map

Fax (804) 758-4828

Mailing address

PO Box 663
Gloucester, VA 23061-0663

Specialties and licenses

Taxonomy	Code	License
Public Health or Welfare Agency Primary	251K00000X	None listed

Public Health or Welfare Agency: Definition to come...

Another provider at this address

W. Heath Allen Jr. DDSPediatric Dentistry Gloucester, VA NPI 1376727982

About NPI 1992767131

Commonweatlh of Virginia State Board of Health's National Provider Identifier is 1992767131, issued on Apr 4, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Gloucester, VA. The record was last updated on Mar 19, 2012.