Individual
MR. PAUL JOHN AVERELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1550 TOMCAT BLVD, VIRGINIA BEACH, VA 23460
(757) 314-7198
Mailing address
2053 SCHUBERT DR, VIRGINIA BEACH, VA 23454-6644
(757) 314-7198
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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