Individual
MR. RUSSELL AARON WARLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2520 MIDWAY RD, STE 600, VIRGINIA BEACH, VA 23459-9302
(757) 462-2187
Mailing address
2520 MIDWAY RD, STE 600, VIRGINIA BEACH, VA 23459-9302
(757) 462-2187
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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