Individual
GLENN R MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1368 N GREAT NECK ROAD, VIRGINIA BEACH, VA 23454
(757) 481-0303
(757) 481-4023
Mailing address
1340 N GREAT NECK RD, SUITE 1272 PMB 390, VIRGINIA BEACH, VA 23454-2268
(757) 481-5858
(757) 481-6265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101034588
VA
Other
Enumeration date
08/10/2006
Last updated
04/30/2008
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