Individual
DR. DOUGLAS DEWEY CONKWRIGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
527 N GREAT NECK RD, VIRGINIA BEACH, VA 23454
(757) 340-8505
Mailing address
3185 ADAM KEELING RD, VIRGINIA BEACH, VA 23454
(757) 481-3027
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017981
BLUE CROSS BS ANTHEM
VA
Enumeration date
03/09/2007
Last updated
07/08/2007
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