Individual
JOHN W. HYSLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1051 JOHNSTON WILLIS DR, ST. 200, NORTH CHESTERFIELD, VA 23235-4871
(804) 320-2705
(804) 330-2433
Mailing address
1051 JOHNSTON WILLIS DR, ST. 200, NORTH CHESTERFIELD, VA 23235-4871
(804) 320-2705
(804) 330-2433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101-032350
VA
208600000X
Surgery Physician
0101032350
VA
2086S0129X
Vascular Surgery Physician
0101-032350
VA
2086S0129X
Vascular Surgery Physician
0101032350
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7364253
—
VA
Enumeration date
12/23/2005
Last updated
01/27/2022
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