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Organization

U S NAVY

Active
Other names
Naval Medical Center Portsmouth VA
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY JASON FLINT IDC (INDEPENDENT DUTY CORPSMAN)
(757) 953-3774
Entity
Organization

Contact information

Practice address
1550 TOMCAT BLVD, SUITE 150, VIRGINIA BEACH, VA 23460-2218
(757) 953-3774
Mailing address
1550 TOMCAT BLVD, SUITE 150, VIRGINIA BEACH, VA 23460-2218
(757) 953-3774

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary

Other

Enumeration date
06/03/2008
Last updated
06/03/2008
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