Individual
JUAN SEBASTIAN SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4001 COLISEUM DR STE 300, HAMPTON, VA 23666-6257
(757) 827-2025
(757) 275-9802
Mailing address
4001 COLISEUM DR STE 300, HAMPTON, VA 23666-6257
(757) 827-2025
(757) 275-9802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101272292
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2018
Last updated
10/15/2024
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