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Organization

PORT WARWICK SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIRKPATRICK KAPUA CONLEY (PRESIDENT)
(757) 736-2655
Entity
Organization

Contact information

Practice address
1031 LOFTIS BLVD, NEWPORT NEWS, VA 23606-2981
(757) 735-9696
Mailing address
1031 LOFTIS BLVD, NEWPORT NEWS, VA 23606-2981
(757) 735-9696

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
02/07/2019
Last updated
02/07/2019
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