Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boyd R Wickizer MD LLC

Organization Multi-Specialty Clinic/Center · NPI 1710408117

Boyd R Wickizer MD LLC is a Multi-Specialty Clinic/Center in Midlothian, Virginia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2802 Otterdale Rd
Midlothian, VA 23112-5408
Phone: (804) 938-0264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X · Licence 0101047692 (VA)

Record details

NPI number1710408117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Boyd Wickizer — President · (804) 938-0264
Other names Dr. Wickizer
NPI enumeratedJuly 6, 2017
Last updated in NPPESJuly 6, 2017
Mailing addressPo Box 446, Midlothian, VA 23113-0446

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