Individual
DEBRA STATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 PHILIP ROTH ST, NEWPORT NEWS, VA 23606-1393
(757) 599-6333
(757) 591-7261
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-006749
VA
363A00000X
Physician Assistant
Primary
0110006749
VA
Other
Enumeration date
03/28/2019
Last updated
11/01/2022
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