Individual
DR. DENNY CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5007 VICTORY BLVD, YORKTOWN, VA 23693-5606
(757) 320-4317
Mailing address
5007 VICTORY BLVD, TABB, VA 23693
(757) 320-4317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101240779
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00946679B
—
GA
Enumeration date
08/13/2007
Last updated
12/21/2007
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