Organization
STONEYBROOK FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEROY GRAHAM JR. MD (OWNER)
(757) 890-0012
Entity
Organization
Contact information
Practice address
15408 WARWICK BLVD, NEWPORT NEWS, VA 23608-1576
(757) 890-0012
Mailing address
15408 WARWICK BLVD, NEWPORT NEWS, VA 23608-1576
(757) 890-0012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101229881
VA
Other
Enumeration date
05/30/2007
Last updated
12/14/2007
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