Organization
NORTHERN NECK SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J OLTERMANN M.D. (PRESIDENT)
(804) 435-1608
Entity
Organization
Contact information
Practice address
95 HARRIS RD, BUILDING 1, KILMARNOCK, VA 22482-3845
(804) 435-1608
(804) 435-3872
Mailing address
PO BOX 1955, KILMARNOCK, VA 22482-1955
(804) 435-1608
(804) 435-3872
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101039744
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079266
ANTHEM
VA
01
—
60723
SOUTHERN HEALTH
VA
05
—
7312768
—
VA
Enumeration date
05/18/2006
Last updated
08/22/2020
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