Individual
JENNIFER K STIRGWOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4917 RICHMOND TAPPAHANNOCK HWY STE 1B, KING WILLIAM MEDICAL CENTER, AYLETT, VA 23009-3416
(804) 769-1245
(804) 769-1342
Mailing address
856 J CLYDE MORRIS BLVD STE A, RIVERSIDE MEDICAL GROUP, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102204513
VA
Other
Enumeration date
06/13/2008
Last updated
11/30/2016
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