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Individual

WALLACE KIRBY GARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12200 WARWICK BLVD, STE 410, NEWPORT NEWS, VA 23601-2548
(757) 534-5200
(757) 534-5830
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101015916
VA

Other

Enumeration date
12/27/2005
Last updated
11/27/2013
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