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3205 Churchland Blvd Chesapeake VA 23321-5205 | |
(757) 484-7822 | |
(757) 484-7362 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 3205 Churchland Blvd, Chesapeake, Virginia |
Authorized Official Name and Position | James C Larocque (OWNER) |
Authorized Official Contact | 7574847822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3205 Churchland Blvd Chesapeake VA 23321-5205 Ph: (757) 484-7822 | 3205 Churchland Blvd Chesapeake VA 23321-5205 Ph: (757) 484-7822 |
NPI Number | 1912008723 |
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Provider Enumeration Date | 09/26/2006 |
Last Update Date | 07/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912008723 | NPI | - | NPPES |
233809 | Other | VA | SENTARA / OPTIMA |
466182 | Other | VA | ANTHEM GROUP ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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