Individual
ADAM J HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(910) 386-9158
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 653-2339
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0102207435
VA
208D00000X
General Practice Physician
0102207435
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102207435
MEDICAL LICENSE
VA
Enumeration date
03/16/2021
Last updated
05/03/2025
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