Individual
MRS. GLORIA KREIS GURDZIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3076 BRICKHOUSE CT, VIRGINIA BEACH, VA 23452
(757) 340-7489
(757) 340-7518
Mailing address
3076 BRICKHOUSE CT, VIRGINIA BEACH, VA 23452
(757) 340-7489
(757) 340-7518
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101037991
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007100370
—
VA
01
—
059063
ANTHEM
—
01
—
1568031
UBH
—
Enumeration date
04/10/2006
Last updated
11/20/2009
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