Individual
PATRICK SOWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GRESHAM DR STE 8620, NORFOLK, VA 23507-1904
(757) 395-1600
Mailing address
600 GRESHAM DR STE 8620, NORFOLK, VA 23507-1904
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125070352
IL
2086S0129X
Vascular Surgery Physician
Primary
0116037684
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
12/24/2023
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