Individual
DR. DAVID WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1856 COLONIAL MEDICAL CT, SUITE A, VIRGINIA BEACH, VA 23454-3075
(757) 962-6262
(757) 962-1185
Mailing address
1856 COLONIAL MEDICAL CT, SUITE A, VIRGINIA BEACH, VA 23454-3075
(757) 962-6262
(757) 962-1185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101042669
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5640989
—
VA
Enumeration date
08/05/2006
Last updated
12/13/2010
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