| Village Doctor, P.c. | |
|
10222 Warwick Blvd Newport News VA 23601-4029 | |
| (757) 223-0124 | |
| (757) 223-0127 |
| Full Name | Village Doctor, P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10222 Warwick Blvd, Newport News, Virginia |
| Authorized Official Name and Position | John Edward Brady (PRESIDENT) |
| Authorized Official Contact | 7572230124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Doctor, P.c. 860 Omni Blvd Ste 101 Newport News VA 23606-4430 Ph: (757) 232-8769 | Village Doctor, P.c. 10222 Warwick Blvd Newport News VA 23601-4029 Ph: (757) 223-0124 |
| NPI Number | 1205974656 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 03/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205974656 | NPI | - | NPPES |
| 49D1014015 | Other | VA | CLIA LAB NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0591153-2 (Virginia) | Primary |
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