Dr VALERIA EDDA MADRID MALO BOHORQUEZ is a female medical professional, specializing in Internal Medicine. She graduated in 2009.
SOUTHSIDE PHYSICIAN NETWORK LLC
40 MEDICAL PARK BLVD A
PETERSBURG
VA
238059289
Tel: 8045047900
| Npi | 1932582541 |
| Pac Id | 7113273038 |
| Professional Enrollment Id | I20180709000843 |
| Last Name | MADRID MALO BOHORQUEZ |
| First Name | VALERIA |
| Middle Name | EDDA |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | INTERNAL MEDICINE |
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| Organization Legal Name | SOUTHSIDE PHYSICIAN NETWORK LLC |
| Group Practice Pac Id | 4587722160 |
| Number Of Group Practice Members | 66 |
| Line 1 Street Address | 40 MEDICAL PARK BLVD A |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PETERSBURG |
| State | VA |
| Zip Code | 238059289 |
| Phone Number | 8045047900 |
| Hospital Affiliation Ccn 1 | 490067 |
| Hospital Affiliation Lbn 1 | SOUTHSIDE REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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