Individual
JOSEPH DESILETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
633D MEDICAL GROUP, 77 NEALY AVENUE, JOINT BASE LANGLEY EUSTIS, VA 23665-2040
(757) 225-7630
Mailing address
633D MEDICAL GROUP, 77 NEALY AVENUE, JOINT BASE LANGLEY EUSTIS, VA 23665-2040
(757) 225-7630
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2017007163
MO
Other
Enumeration date
04/06/2015
Last updated
08/16/2019
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