James River Family Practice, LLC

NPI #1811914872 in Newport News, Virginia

Provider Information

NPI Number
1811914872
Entity Type
Organization
Organization Name
James River Family Practice, LLC
Primary Specialty
Family Medicine
Enumeration Date
Jul 16, 2006
Last Updated
Apr 7, 2008

Practice Location

Address
12420 WARWICK BLVD
Address 2
7B
ZIP Code
23606-3001
Phone
(757) 599-5588

Authorized Official

Name
JAMES MATTHEW HALVERSON, DO
Title
OWNER
Phone
(757) 599-5588

Specialties & Taxonomy Codes

Specialty
Family Medicine

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