Organization
PENINUSLA EMERGENCY PHYSICIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BAKER M.D. (MEDICAL DIRECTOR)
(757) 599-4922
Entity
Organization
Contact information
Practice address
3000 COLISEUM DR, HAMPTON, VA 23666-5963
(757) 736-2008
Mailing address
11828 CANON BLVD STE E, NEWPORT NEWS, VA 23606-2554
(757) 599-4922
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
F0712694
VA
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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