Individual
DR. ADRIENNE DAWN PETTEBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2197
(757) 953-1043
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2197
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102201977
VA
Other
Enumeration date
02/14/2007
Last updated
11/23/2015
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