Individual
DAVID LEE WERWATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3198 PACIFIC AVE STE 104, VIRGINIA BEACH, VA 23451-2949
(757) 428-1911
(757) 428-1755
Mailing address
3198 PACIFIC AVE STE 104, VIRGINIA BEACH, VA 23451-2949
(757) 428-1911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101034422
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010007640
—
VA
01
—
159097XX
PREFERRED CARE
—
01
—
40935
SENTARA OPTIMA
—
01
—
465954
BCBS VA
—
Enumeration date
02/13/2006
Last updated
06/28/2023
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