| Mountain Ridge Pediatrics | |
|
2054 Pro Pointe Ln Harrisonburg VA 22801-8021 | |
| (540) 560-4676 | |
| Not Available |
| Full Name | Mountain Ridge Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2054 Pro Pointe Ln, Harrisonburg, Virginia |
| Authorized Official Name and Position | Jamie S Hutton (OWNER) |
| Authorized Official Contact | 5405604676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Ridge Pediatrics 2054 Pro Pointe Ln Harrisonburg VA 22801-8021 Ph: (540) 560-4676 | Mountain Ridge Pediatrics 2054 Pro Pointe Ln Harrisonburg VA 22801-8021 Ph: (540) 560-4676 |
| NPI Number | 1932504446 |
|---|---|
| Provider Enumeration Date | 10/27/2014 |
| Last Update Date | 10/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932504446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101242820 (Virginia) | Primary |
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