Individual
MR. DAVID T MAGNUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1800 CAMELOT DR, SUITE 300, VIRGINIA BEACH, VA 23454-2440
(757) 321-3383
(757) 321-3332
Mailing address
230 CLEARFIELD AVE, SUITE 202, VIRGINIA BEACH, VA 23462-1832
(757) 321-3383
(757) 321-3332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002748
CT
363A00000X
Physician Assistant
Primary
0110001697
VA
Other
Enumeration date
09/22/2006
Last updated
09/28/2015
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