Individual
DANIEL MICHAEL COVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1317 BALLAHACK RD. STE 100, CAPT W.L. MCGONAGLE BRANCH CLINIC NSA NORTHWEST, CHESAPEAKE, VA 23322-2463
(757) 953-6259
Mailing address
1317 BALLAHACK RD. STE 100, CAPT W.L. MCGONAGLE BRANCH CLINIC NSA NORTHWEST, CHESAPEAKE, VA 23322-2463
(757) 953-6259
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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