Bon Secours Depaul Medical Center

NPI #1619251337 in Virginia Beach, Virginia

Provider Information

NPI Number
1619251337
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
Family Medicine
Enumeration Date
Sep 29, 2011
Last Updated
Feb 8, 2012

Practice Location

Address
1020 INDEPENDENCE BLVD
Address 2
SUITE 305
ZIP Code
23455-5500
Phone
(757) 460-5011

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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