Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YP0228X | Pediatric Otolaryngology | 0101052066 | VA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 0101052066 | VA |
NPI | 1174608053 |
---|---|
Provider Name | Dr. Michael Armstrong JR. |
First Address | Richmond, VA 23235-1968 |
Second Address | Richmond, VA 23235-1962 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 11/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006501427 | (05) | VA |
1045683 | AETNA (01) | VA |
337696 | ANTHEM (01) | VA |
542010397 | CARENET (01) | VA |
542010397 | CORPORATE T.I.N. (01) | VA |
542010397 | SOUTHERN HEALTH (01) | VA |
542010397 | TRICARE (01) | VA |