Organization
BEACH KIDS PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN MCDONALD (MEMBER)
(757) 806-8880
Entity
Organization
Contact information
Practice address
1856 COLONIAL MEDICAL CT, SUITE D, VIRGINIA BEACH, VA 23454-3075
(757) 806-8880
Mailing address
1856 COLONIAL MEDICAL CT, SUITE D, VIRGINIA BEACH, VA 23454-3075
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/07/2010
Last updated
02/01/2011
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