Individual
JOHN A. MICHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
659 HOSPITAL RD, A-101, TAPPAHANNOCK, VA 22560-5000
(804) 443-9379
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(804) 443-9379
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101046833
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010039703
—
VA
Enumeration date
04/14/2006
Last updated
09/09/2008
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