Individual
GEORGE ANGELO LADIKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1721 TAUSIGG BLVD, NORFOLK, VA 23511-0000
(757) 314-6258
Mailing address
2101 CREEKS EDGE DR, VIRGINIA BEACH, VA 23451-6805
(757) 496-2828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1008625
VA
Other
Enumeration date
02/07/2006
Last updated
02/13/2021
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