Provider Demographics
NPI:1497886147
Name:POIRIER, VIRGINIA CAMPBELL (MD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:CAMPBELL
Last Name:POIRIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 BONNIE LN
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-8028
Mailing Address - Country:US
Mailing Address - Phone:330-995-0904
Mailing Address - Fax:
Practice Address - Street 1:295 BONNIE LN
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-8028
Practice Address - Country:US
Practice Address - Phone:330-995-0904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0685082085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology