Individual
ELIZABETH MCGLOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2117 MCCOMAS WAY, STE. 103, VIRGINIA BEACH, VA 23456-3908
(757) 668-6715
(757) 668-6680
Mailing address
2117 MCCOMAS WAY, STE. 103, VIRGINIA BEACH, VA 23456-3908
(757) 668-6715
(757) 668-6680
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0024117999
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10231493
—
VA
01
—
28859N
OPTIMA,OFC,FAMIS
VA
Enumeration date
07/17/2006
Last updated
02/21/2013
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