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Individual

DALEY FAVO AUVIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
(757) 953-2339
Mailing address
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
208000000X
Pediatrics Physician
Primary
0101273221
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/21/2020
Last updated
06/21/2023
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