| Depaul Medical Associates | |
|
155 Kingsley Ln Ste 400 Norfolk VA 23505-4629 | |
| (757) 278-2240 | |
| (757) 489-6469 |
| Full Name | Depaul Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 155 Kingsley Ln Ste 400, Norfolk, Virginia |
| Authorized Official Name and Position | Wilbur Gay (CFO) |
| Authorized Official Contact | 8645617672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Depaul Medical Associates 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | Depaul Medical Associates 155 Kingsley Ln Ste 400 Norfolk VA 23505-4629 Ph: (757) 278-2240 |
| NPI Number | 1619001906 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 09/22/2020 |
| Medicare PECOS PAC ID | 4082517982 |
|---|---|
| Medicare Enrollment ID | O20190507002533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619001906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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