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Individual

DAVID ANDERSON VINCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5716 CLEVELAND ST STE 200, VIRGINIA BEACH, VA 23462
(757) 502-8583
(757) 226-9044
Mailing address
5716 CLEVELAND ST STE 200, VIRGINIA BEACH, VA 23462-1784
(575) 028-5837
(757) 226-9044

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101234918
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010003571
VA
01
102643
ANTHEM BCBS
VA
01
149158900
US DEPT OF LABOR
01
71052
SENTARA HEALTH PLAN
01
P00143405
RAILROAD MEDICARE
VA
Enumeration date
07/20/2005
Last updated
04/18/2023
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