Edward James Wiley III MD

NPI 1033292115 - Pediatrics - 208000000X

NPI Details
NPI 1033292115
Gender Male
Enumeration Date 10/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3990 STILLMAN PKWY
GLEN ALLEN VA, 23060, US
Phone (804) 282-4210
Fax (804) 282-4250
Business Location
3990 STILLMAN PKWY
GLEN ALLEN VA, 23060, US
Phone (804) 282-4210
Fax (804) 282-4250
Toxanomy
Taxonomy Code 208000000X
License State Virginia
License Number 0101049486
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According to our database, Dr. Edward James Wiley III MD NPI is 1033292115, taxonomy code is 208000000X and license number is 0101049486, license state is located at Virginia. Edward James Wiley III MD physically located at 3990 Stillman Pkwy, Glen Allen VA, 23060. NPI Number Edward James Wiley III MD has the Individual type.

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1033292115 NPI number is provided on an as is basis without warranty of any kind. 1033292115 is maintained by the National Plan & Provider Enumeration System. The contents of Edward James Wiley III MD are for informational purposes only.