Bon Secours Depaul Medical Center

NPI #1366725160 in Virginia Beach, Virginia

Provider Information

NPI Number: 1366725160
Entity Type: Organization
Organization Name: Bon Secours Depaul Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: BON SECOURS DEPAUL MEDICAL CENTER
Primary Specialty: Internal Medicine
Enumeration Date: Sep 28, 2011
Last Updated: Apr 2, 2012

Practice Location

Address: 1020 INDEPENDENCE BLVD
Address 2: SUTIE 206
City: Virginia Beach
State: Virginia
ZIP Code: 23455-5500
Phone: (757) 464-0909

Authorized Official

Name: MICHAEL K KERNER
Title: CEO
Phone: (757) 673-5929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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