| Dr. Phillip Y Shou Pc | |
|
2801 Boulevard Suite D Colonial Heights VA 23834-2323 | |
| (804) 526-3821 | |
| (804) 526-6065 |
| Full Name | Dr. Phillip Y Shou Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2801 Boulevard, Colonial Heights, Virginia |
| Authorized Official Name and Position | Phillip Y Shou (OFFICER) |
| Authorized Official Contact | 8045263821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Phillip Y Shou Pc 2801 Boulevard Suite D Colonial Heights VA 23834-2323 Ph: (804) 526-3821 | Dr. Phillip Y Shou Pc 2801 Boulevard Suite D Colonial Heights VA 23834-2323 Ph: (804) 526-3821 |
| NPI Number | 1861704926 |
|---|---|
| Provider Enumeration Date | 07/06/2010 |
| Last Update Date | 07/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861704926 | NPI | - | NPPES |
| 6751300 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101041517 (Virginia) | Primary |
| 208000000X | Pediatrics | 0101041517 (Virginia) | Secondary |
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