Individual
ROBERT JADGCHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
427 POLARIS AVENUE, BLDG 586, VIRGINIA BEACH, VA 23461
(757) 862-0085
Mailing address
427 POLARIS AVENUE, BLDG 586, VIRGINIA BEACH, VA 23461
(757) 862-0085
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001769
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126001769
DEPT OF HEALTH PROFESSIONALS BOARD OF MEDICINE
VA
Enumeration date
05/19/2015
Last updated
05/19/2015
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