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Organization
TIDEWATER ENDOCRINOLOGY LLC
Active
Organization
TIDEWATER ENDOCRINOLOGY LLC
Active
Other names
ENDOCRINOLOGY AND DIABETES CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES CALVIN LAROCQUE M.D. (OWNER)
(757) 484-7822
Entity
Organization
Contact information
Practice address
3205 CHURCHLAND BLVD, CHESAPEAKE, VA 23321-5205
(757) 484-7822
(757) 484-7362
Mailing address
3205 CHURCHLAND BLVD, CHESAPEAKE, VA 23321-5205
(757) 484-7822
(757) 484-7362
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101034393
VA
Other
Enumeration date
04/16/2014
Last updated
06/20/2014
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