Individual
MR. MICHAEL MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2520 MIDWAY RD, STE 200, EODMU TWO MEDICAL DEPT, VIRGINIA BEACH, VA 23459
(757) 462-8452
Mailing address
2520 MIDWAY RD, STE 200, EODMU TWO MEDICAL DEPT, VIRGINIA BEACH, VA 23459
(757) 462-8452
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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