Individual
DR. PHILLIP R LETADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 MANHATTAN SQ, HAMPTON, VA 23666-5843
(757) 838-8030
Mailing address
7288 HANOVER GREEN DR, MECHANICSVILLE, VA 23111-1706
(757) 822-0233
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101236866
VA
Other
Enumeration date
12/22/2005
Last updated
02/05/2016
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