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NPI Profile for HAMPTON ROADS OTOLARYNGOLOGY ASSOCIATES PLLC in HAMPTON, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Otolaryngic Allergy |
207YX0602X | 04 | Physician/Otolaryngology | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers |
| NPI Number | 1700939980 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/19/2007 | |
| Last updated | 04/09/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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HAMPTON ROADS OTOLARYNGOLOGY ASSOCIATES PLLC