Provider Demographics
NPI:1265497929
Name:VIRGINIA EMERGENCY AND OCCUPATIONAL PHYSICIANS PC
Entity Type:Organization
Organization Name:VIRGINIA EMERGENCY AND OCCUPATIONAL PHYSICIANS PC
Other - Org Name:WILLIAMS AND SLAGEL MD PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:EVERETT
Authorized Official - Last Name:SLAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-527-5945
Mailing Address - Street 1:7700 E PARHAM RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4301
Mailing Address - Country:US
Mailing Address - Phone:804-747-8770
Mailing Address - Fax:804-747-5746
Practice Address - Street 1:7700 E PARHAM RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4301
Practice Address - Country:US
Practice Address - Phone:804-747-8770
Practice Address - Fax:804-747-5746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC02070Medicare PIN