Provider Demographics
NPI:1790742989
Name:WILEY & ARKIN PEDIATRICS, LLC
Entity Type:Organization
Organization Name:WILEY & ARKIN PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:ARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-282-4210
Mailing Address - Street 1:3990 STILLMAN PKWY
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-4167
Mailing Address - Country:US
Mailing Address - Phone:804-282-4210
Mailing Address - Fax:804-282-4250
Practice Address - Street 1:3990 STILLMAN PKWY
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-4167
Practice Address - Country:US
Practice Address - Phone:804-282-4210
Practice Address - Fax:804-282-4250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty