Organization
VIRGINIA BEACH RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK LOWDON MD (OWNER PHYSICIAN)
(757) 481-1175
Entity
Organization
Contact information
Practice address
1821 OLD DONATION PKWY, SUITE 7, VIRGINIA BEACH, VA 23454-3033
(757) 481-1175
(757) 481-5081
Mailing address
1821 OLD DONATION PKWY, SUITE 7, VIRGINIA BEACH, VA 23454-3033
(757) 481-1175
(757) 481-5081
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7263295
—
VA
Enumeration date
05/15/2006
Last updated
11/01/2007
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