Individual
RICHARD NORMAN WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 FAIRFAX AVE, SUITE 310, NORFOLK, VA 23507-1914
(757) 446-7900
(757) 446-8907
Mailing address
PO BOX 936, EVMS MEDICAL GROUP, NORFOLK, VA 23501-0936
(757) 446-7900
(757) 446-7900
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0101018092
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-010
TRICARE/CHAMPUS
VA
01
—
10108888
OPTIMA HEALTH
VA
01
—
1538167796
COVENTRY HEALTH NETWORK
VA
05
—
1538167796
—
NC
05
—
1538167796
—
VA
01
—
492352
ANTHEM BC/BS
VA
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
07/12/2005
Last updated
10/22/2013
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