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Individual

DR. CLARENCE W FRIEND JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15425 WARWICK BLVD STE H, NEWPORT NEWS, VA 23608-1579
(757) 874-8400
(757) 947-2001
Mailing address
15425 WARWICK BLVD STE H, NEWPORT NEWS, VA 23608-1579
(757) 874-8400
(757) 947-2001

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101044808
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005631297
VA
Enumeration date
02/22/2006
Last updated
01/21/2014
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