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Individual

JOHN DAUGHDRILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 312-8121
Mailing address
PO BOX 1707, CHESAPEAKE, VA 23327-1707
(757) 366-0101
(757) 366-8792

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
0101035323
VA
2085R0202X
Diagnostic Radiology Physician
0101035323
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
101035323
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007228571
VA
01
0101035323
MEDICAL LICENSE
VA
Enumeration date
08/03/2006
Last updated
12/01/2023
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