Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Pain Medicine |
2081P2900X | 25 | Physician/Physical Medicine and Rehabilitation | |
Sleep Medicine |
207YS0012X | 04 | Physician/Otolaryngology |
| NPI # | 1013584366 |
| LBN Legal business name | VILLA MEDICAL GROUP |
| Authorized official | TODD RICHEY - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/07/2021 |
| Last updated | 06/07/2021 - About 5 years ago |
| Identifiers | n/a |
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VILLA MEDICAL GROUP
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