Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 0101058243 | VA |
NPI | 1083683262 |
---|---|
Provider Name | Dr. Rodrick N. Love |
First Address | Richmond, VA 23226-3754 |
Second Address | Mechanicsville, VA 23116-3818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 25/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083683262 | (05) | VA |
G72563 | (02) |