Organization
EASTERN VIRGINIA MEDICAL SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BRENNAN (RESIDENCY COORDINATOR)
(757) 388-3397
Entity
Organization
Contact information
Practice address
600 GRESHAM DR, RALEIGH BUILDING ROOM 304, NORFOLK, VA 23507-1904
(757) 388-3397
Mailing address
207 MILLSPRING DR, FOREST, VA 24551-2328
(434) 525-7934
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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