Individual
DR. WILLIAM W MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 FAIRFAX AVE, SUITE 710, NORFOLK, VA 23507-1914
(757) 446-5888
(757) 446-5918
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5888
(757) 446-5918
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101038058
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
326492
ANTHEM
VA
05
—
690569T
—
NC
01
—
O-80125
SENTARA
VA
Enumeration date
03/07/2006
Last updated
11/02/2007
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