| Glenn R. Mcdermott, Md | |
|
1788 Republic Rd Suite 400 Virginia Beach VA 23454-4552 | |
| (757) 343-4221 | |
| Not Available |
| Full Name | Glenn R. Mcdermott, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1788 Republic Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Glenn Robert Mcdermott (OWNER) |
| Authorized Official Contact | 7573434221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn R. Mcdermott, Md 1788 Republic Rd Suite 400 Virginia Beach VA 23454-4552 Ph: (757) 343-4221 | Glenn R. Mcdermott, Md 1788 Republic Rd Suite 400 Virginia Beach VA 23454-4552 Ph: (757) 343-4221 |
| NPI Number | 1033441936 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 02/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033441936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101034588 (Virginia) | Primary |
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