COMMONWEALTH DERMATOLOGY, PC
Nursing at Forest Ave, Richmond, VA

License number
Virginia 0101026447
Category
Osteopathic Medicine
Type
Dermatology
License number
Virginia 0101233942
Category
Osteopathic Medicine
Type
Dermatology
License number
Virginia 0101238054
Category
Osteopathic Medicine
Type
MOHS-Micrographic Surgery
License number
Virginia 0101044250
Category
Osteopathic Medicine
Type
Pediatric Dermatology
License number
Virginia 0101053332
Category
Osteopathic Medicine
Type
Pediatric Dermatology
License number
Virginia 0017137835
Category
Nursing
Type
Acute Care
License number
Virginia 0017138217
Category
Nursing
Type
Family
Owner
Name: HAZLE KONERDING MD
Title: PRESIDENT
Phone: (804) 282-0831
Address
Address
7001 Forest Ave STE. 400, Richmond, VA 23230
National Provider ID: 1013091115
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COMMONWEALTH DERMATOLOGY, PC

7001 Frst Ave #400, Richmond, VA 23230

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Commonwealth Dermatology, LLC<br>Commonwealth Dermatology - Hazel Vernon MD
Registration:
May 14, 1982
Site:
www.comderm.com
Phone:
(804) 282-0831 (Phone)
State ID:
02298792
Business type:
Corporation
Nurse Practitioners:
Laurie L. Shinn (Dermatology),Hazel Vernon (Dermatology),Laura Babik (Office Manager),...
Agent:
Ralph L Axselle Jr
Categories:
Dermatology Physicians & Surgeons, Pediatrics Physicians & Surgeons, Physicians & Surgeons
Certifications:
American Society for Laser Medicine & Surgery

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