Individual
WILLIAM H. POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
860 OMNI BLVD, SUITE 101, NEWPORT NEWS, VA 23606-4430
(757) 877-4221
(757) 886-1042
Mailing address
860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 23606-4430
(757) 232-8777
(757) 232-8866
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101032429
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104083
ANTHEM
VA
01
—
110182932
RR/MEDICARE
—
05
—
6001611
—
VA
Enumeration date
07/28/2005
Last updated
01/04/2013
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