Organization
INTEGRATIVE CARDIOVASCULAR INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIE PARKER MD (PRESIDENT)
(757) 708-4501
Entity
Organization
Contact information
Practice address
129 W VIRGINIA BEACH BLVD, SUITE 110, NORFOLK, VA 23510-2030
(757) 965-2970
(877) 437-1674
Mailing address
5500 COVENANT CT, VIRGINIA BEACH, VA 23464-2385
(757) 708-4501
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101238123
VA
Other
Enumeration date
01/15/2012
Last updated
01/22/2012
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