Rupal Patel , PA-C
Physician Assistant • Winchester, VA
207 Gateway Dr
Winchester, VA 226035835
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 19, 2016; this date does not establish years in practice.
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Published CMS data list 991 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 195 service units.
- 99214 — Established patient outpatient office visit: 95 service units.
- 36415 — Insertion of needle into vein for collection of blood sample: 91 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 19 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 324 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Doxycycline Hyclate — 48 prescription fills, including refills.
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) — 45 prescription fills, including refills.
- Prednisone — 37 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 15 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Winchester, VA (2024, 84 clinicians with data). Median for this group: 365. Middle half: 116 to 848.
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: 288. Middle half: 107 to 693.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 505 in 2020 to 991 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
207 Gateway Dr
Winchester, VA 226035835
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Patient First Richmond Medical Group Pllc; Professional Therapies Of Roanoke, Inc.. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2016
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
387 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $43,712 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $32,363 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
475 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$5,609 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2016
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Rupal Patel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Rupal Patel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Winchester and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Winchester, VA (2024, 84 clinicians with data). Median for this group: 365. Middle half: 116 to 848.
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: 288. Middle half: 107 to 693.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Winchester, VA (2024, 84 clinicians with data). Median for this group: $29,009. Middle half: $12,231 to $56,353.
A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: $23,153. Middle half: $9,003 to $44,800.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Winchester, VA (2024, 84 clinicians with data). Median for this group: $21,928. Middle half: $9,190 to $38,454.
A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: $17,218. Middle half: $6,803 to $32,639.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Winchester, VA (2024, 88 clinicians with data). Median for this group: 328. Middle half: 92 to 756.
Close to the middle for clinicians listed under Physician Assistant in Virginia (2024, 2,256 clinicians with data). Median for this group: 247. Middle half: 75 to 708.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Winchester, VA (2024, 88 clinicians with data). Median for this group: $4,201. Middle half: $790 to $70,596.
Close to the middle for clinicians listed under Physician Assistant in Virginia (2024, 2,256 clinicians with data). Median for this group: $3,441. Middle half: $640 to $57,211.
217 active clinicians are listed under Physician Assistant with a practice address in Winchester, VA (4,411 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Winchester
10.6% of these 217 clinicians have the CMS telehealth indicator.
53% of these 217 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 96% from 505 in 2020 to 991 in 2024.
- 2020: 505
- 2021: 371
- 2022: 710
- 2023: 1,009
- 2024: 991
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Medicare-allowed amount
Medicare-allowed amount increased 85% from $23,611 in 2020 to $43,712 in 2024.
- 2020: $23,611
- 2021: $20,198
- 2022: $34,283
- 2023: $49,682
- 2024: $43,712
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Paid by Medicare
Paid by Medicare increased 102% from $16,019 in 2020 to $32,363 in 2024.
- 2020: $16,019
- 2021: $16,089
- 2022: $24,960
- 2023: $35,420
- 2024: $32,363
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 120% from 147 in 2019 to 324 in 2024.
- 2019: 147
- 2020: 74
- 2022: 124
- 2023: 261
- 2024: 324
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30-day fills
30-day fills increased 223% from 147 in 2019 to 475 in 2024.
- 2019: 147
- 2020: 74
- 2022: 180
- 2023: 386
- 2024: 475
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Part D drug cost
Part D drug cost increased 230% from $1,701 in 2019 to $5,609 in 2024.
- 2019: $1,701
- 2020: $1,007
- 2022: $2,250
- 2023: $2,836
- 2024: $5,609
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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195 | 185 | $205.00 | $74.45 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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95 | 90 | $306.00 | $105.35 |
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36415
Insertion of needle into vein for collection of blood sample
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91 | 84 | $13.00 | $8.55 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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75 | 71 | $37.00 | $7.31 |
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71046
X-ray of chest, 2 views
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58 | 56 | $37.33 | $8.52 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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56 | 56 | $248.00 | $91.96 |
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87428
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
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52 | 51 | $103.00 | $68.88 |
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87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
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44 | 44 | $64.00 | $34.62 |
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87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
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44 | 44 | $58.00 | $16.20 |
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J0696
Injection, ceftriaxone sodium, per 250 mg
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44 | 11 | $11.00 | $0.41 |
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81000
Manual urinalysis test with examination using microscope, non-automated
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41 | 38 | $37.00 | $3.94 |
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80047
Blood test, basic group of blood chemicals (calcium, ionized)
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39 | 39 | $64.00 | $13.46 |
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87804
Detection test by immunoassay with direct visual observation for influenza virus
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34 | 17 | $62.00 | $16.22 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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29 | 27 | $131.03 | $46.76 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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24 | 24 | $352.00 | $138.03 |
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81002
Urinalysis, manual test
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21 | 21 | $25.00 | $3.25 |
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96372
Injection of drug or substance under skin or into muscle
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18 | 17 | $100.00 | $11.87 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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16 | 16 | $151.00 | $11.78 |
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J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
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15 | 15 | $5.00 | $0.19 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Doxycycline Hyclate | Doxycycline Hyclate | 48 | 472 | $397.01 | 47 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 45 | 422 | $354.91 | 45 |
| Prednisone | Prednisone | 37 | 273 | $90.13 | 37 |
| Fluticasone Propionate | Fluticasone Propionate | 33 | 1,620 | $345.39 | 20 |
| Azithromycin | Azithromycin | 24 | 120 | $66.15 | 24 |
| Atorvastatin Calcium | Atorvastatin Calcium | 19 | 1,740 | $316.06 | — |
| Amlodipine Besylate | Amlodipine Besylate | 18 | 1,305 | $45.41 | 11 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 15 | 340 | $268.84 | 15 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 14 | 107 | $59.39 | 14 |
| Metformin Hcl | Metformin Hcl | 13 | 1,170 | $88.60 | — |
| Cefdinir | Cefdinir | 13 | 80 | $165.36 | 13 |
| Lisinopril | Lisinopril | 12 | 1,050 | $111.78 | — |
| Buspirone Hcl | Buspirone Hcl | 11 | 810 | $350.40 | — |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 11 | 55 | $90.98 | — |
| Paxlovid | Nirmatrelvir/Ritonavir | 11 | 55 | $2,858.80 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-03-26NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363AM0700X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20200623001759
DC
6507145869
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Patient First Richmond Medical Group Pllc
7238 Mechanicsville Tpke, Mechanicsville, VA 231113502
Phone: 8045599900
Patient First Richmond Medical Group Pllc
1260 Temple Ave, Colonial Heights, VA 238342984
Phone: 8045182597
Patient First Richmond Medical Group Pllc
3370 Pump Rd, Richmond, VA 232331130
Phone: 8043608061
Patient First Richmond Medical Group Pllc
11020 Hull St Rd, Midlothian, VA 231123200
Phone: 8047446310
Patient First Richmond Medical Group Pllc
601 Potomac Station Dr, Leesburg, VA 201761816
Phone: 7038401396
Patient First Richmond Medical Group Pllc
12 N Thompson St, Richmond, VA 232212718
Phone: 8043591337
Professional Therapies Of Roanoke, Inc.
6800 Woodlake Commons Loop, Midlothian, VA 231122281
Phone: 8043024589
Patient First Richmond Medical Group Pllc
8110 Midlothian Tpke, North Chesterfield, VA 232355116
Phone: 8043208160
Patient First Richmond Medical Group Pllc
2300 E Parham Rd, Henrico, VA 232283118
Phone: 8042647808
Patient First Richmond Medical Group Pllc
12101 S Chalkley Rd, Chester, VA 238313755
Phone: 8047963636
Patient First Richmond Medical Group Pllc
2205 N Parham Rd, Richmond, VA 232293161
Phone: 8042702150
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Nurse Practitioner
Physician Assistant - Medical
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 5000 COX RD, GLEN ALLEN, VA 230609263 (Tel: 5404214351)
NPI status registered as active in NPPES database
Registered at 207 GATEWAY DR, WINCHESTER, VA 226035835 (Tel: 5405351029)
Registered at 1252 SPARROW CT, HARRISONBURG, VA 228024911 (Tel: 5404214351)
Recorded as RUPAL PATEL, PA-C
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Winchester
- Cassanndre Gjoni
- Madeleine Templeton, PA
- Rachel Carlson, PA-C
- Laura Minster
- Victoria Rohrer
- Michael Lapp, PA
Mailing Address
5000 Cox Rd
Glen Allen, VA 230609263
Phone: 5404214351