Individual
DR. BENJAMIN LEE CHIDESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 GRESHAM DRIVE, NORFOLK, VA 23507
(757) 388-3000
Mailing address
800 W PRINCESS ANNE RD, UNIT D3, NORFOLK, VA 23517-1844
(757) 572-2472
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0116023723
VA
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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