Organization
EASTERN VIRGINIA MEDICAL SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESTER JOHNSON MD/PHD (DIRECTOR, RADIOLOGY RESIDENCY PROGR)
(757) 446-5600
Entity
Organization
Contact information
Practice address
714 WOODIS AVE, NORFOLK, VA 23510-1026
(757) 446-5600
Mailing address
PO BOX 1980, NORFOLK, VA 23501-1980
(757) 446-5600
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
VA0101257244
VA
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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