Individual
DANDRIDGE H YON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1708 OLD DONATION PKWY, VIRGINIA BEACH, VA 23454-3064
(757) 395-5300
(757) 395-5322
Mailing address
5700 CLEVELAND STREET, SUITE 228, VIRGINIA BEACH, VA 23462-1752
(757) 499-2825
(757) 499-4248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001043
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518915206
TRICARE
VA
05
—
1518915206
—
VA
01
—
33027P
OPTIMA/SENTARA
VA
Enumeration date
05/04/2006
Last updated
11/17/2008
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