Provider Demographics
NPI:1669512018
Name:CROSS, WIRT WHITFIELD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WIRT
Middle Name:WHITFIELD
Last Name:CROSS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:5855 BREMO ROAD
Mailing Address - Street 2:MEDICAL OFFICE BUILDING NORTH, SUITE 506
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1318
Mailing Address - Country:US
Mailing Address - Phone:804-893-8676
Mailing Address - Fax:
Practice Address - Street 1:5855 BREMO ROAD
Practice Address - Street 2:MEDICAL OFFICE BUILDING NORTH, SUITE 506
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-7000
Practice Address - Country:US
Practice Address - Phone:804-893-8676
Practice Address - Fax:804-443-6220
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2023-07-10
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Provider Licenses
StateLicense IDTaxonomies
VA0101255335208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery