Indian River Family Practice Pc | |
1016 Justis St Chesapeake VA 23325 | |
(757) 420-8297 | |
(757) 523-5639 |
Full Name | Indian River Family Practice Pc |
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Speciality | Family Medicine |
Location | 1016 Justis St, Chesapeake, Virginia |
Authorized Official Name and Position | Larry Howard Kagan (SECRETARY TREASURER) |
Authorized Official Contact | 7574208297 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Indian River Family Practice Pc 1016 Justis St Chesapeake VA 23325 Ph: (757) 420-8297 | Indian River Family Practice Pc 1016 Justis St Chesapeake VA 23325 Ph: (757) 420-8297 |
NPI Number | 1629155122 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629155122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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