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1992724181
NORTHSIDE PEDIATRICS PC
RICHMOND, VA
NPI
1992724181
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Entity Type
Organization
Authorized Contact
LAKEITA LYNNE SMITH
Physician
804-432-4631
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: VA 0101231186)
Enumeration Date
2006-07-19
Last Update Date
2009-05-20
Business Address
NORTHSIDE PEDIATRICS PC
2008 BREMO RD SUITE 100
RICHMOND, VA 23226-2443
Phone number: 804-288-0814
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Mailing Address
NORTHSIDE PEDIATRICS PC
PO BOX 28690
RICHMOND, VA 23228-8690
Phone number: 804-432-4631
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