Bon Secours Depaul Medical Center

NPI 1033442850 - Family Medicine - 207Q00000X

NPI Details
NPI 1033442850
Enumeration Date 09/11/2009
Last Updated 03/09/2015
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MICHAEL K MICHAEL
Position CEO
Phone (757) 622-8358
Fax (757) 622-9662
Practice Location
930 W. 21ST ST
SUITE 100
NORFOLK VA, 23517-1536, US
Phone (757) 622-8358
Fax (757) 622-9662
Business Location
930 W. 21ST ST
SUITE 100
NORFOLK VA, 23517, US
Phone (757) 622-8358
Fax (757) 622-9662
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Bon Secours Depaul Medical Center NPI is 1033442850, taxonomy code is 207Q00000X Bon Secours Depaul Medical Center physically located at 930 W. 21st St, Norfolk VA, 23517-1536. NPI Number 1033115704 has the healthcare provider type.

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1033442850 NPI number is provided on an as is basis without warranty of any kind. 1033442850 is maintained by the National Plan & Provider Enumeration System. The contents of Bon Secours Depaul Medical Center are for informational purposes only.