Organization
DANA L BACHTELL M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA M HARRIS (BILLIING CLERK)
(757) 826-2102
Entity
Organization
Contact information
Practice address
2100 HARTFORD RD, HAMPTON, VA 23666-2409
(757) 826-2102
(757) 825-9482
Mailing address
2100 HARTFORD RD, HAMPTON, VA 23666-2409
(757) 826-2102
(757) 825-9482
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101046567
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080006516
—
VA
01
—
101971
OPTIMA
VA
Enumeration date
07/15/2010
Last updated
07/15/2010
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