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Individual

DR. WILLIAM FLETCHER DAMRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
226 FORT LN, PORTSMOUTH, VA 23704-2220
(757) 393-6131
(757) 393-0976
Mailing address
226 FORT LN, PORTSMOUTH, VA 23704-2220
(757) 393-6131
(757) 393-0976

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000258
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010147760
VA
01
178557
ANTHEM BCBS
VA
01
91431
OPTIMA
VA
Enumeration date
07/24/2006
Last updated
06/30/2009
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