| NPI | 1326477506 |
|---|---|
| Doing Business As | AIRLINE BOULEVARD MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | STEPHAN QUIRICONI CFO 804-281-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2019-05-28 |