Organization
EMERGENCY PHYSICIANS OF TIDEWATER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HUNDLEY (ADMINISTRATOR)
(616) 464-0029
Entity
Organization
Contact information
Practice address
4092 FOXWOOD DR, SUITE 101, VIRGINIA BEACH, VA 23462-5225
(757) 467-4200
(757) 467-4173
Mailing address
PO BOX 7549, PORTSMOUTH, VA 23707-0549
(757) 686-3515
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
04/15/2021
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