Individual
HERMES G DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
446 EFFINGHAM ST., STE 302, PORTSMOUTH, VA 23704
(757) 673-6277
(757) 673-6411
Mailing address
446 EFFINGHAM ST., STE 302, PORTSMOUTH, VA 23704
(757) 673-6277
(757) 673-6411
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101048911
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010109230
—
VA
Enumeration date
02/03/2006
Last updated
04/07/2011
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