Organization
VIRGINIA BEACH DERMATOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL RYLL (BILLING)
(757) 301-8960
Entity
Organization
Contact information
Practice address
5320 PROVIDENCE RD STE 202, VIRGINIA BEACH, VA 23464-4122
(757) 523-4800
(757) 523-5857
Mailing address
5320 PROVIDENCE RD STE 202, VIRGINIA BEACH, VA 23464-4122
(757) 523-4800
(757) 523-5857
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101033623
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005937108
—
VA
Enumeration date
05/05/2008
Last updated
05/05/2008
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