Bon Secours Depaul Medical Center

NPI #1457505711 in Virginia Beach, Virginia

Provider Information

NPI Number
1457505711
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
Nov 12, 2008
Last Updated
Nov 12, 2008

Practice Location

Address
5301 PROVIDENCE RD
Address 2
SUITE 90
ZIP Code
23464-4128
Phone
(757) 495-6896

Authorized Official

Name
GREG A SIMIA
Title
CFO
Phone
(757) 673-5928

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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