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Individual

DR. IAN CHAUNCEY UBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708
(757) 953-9710
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-9701

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101266036
VA
207W00000X
Ophthalmology Physician
26377
NE
208D00000X
General Practice Physician
26377
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891016796
VA
Enumeration date
06/15/2010
Last updated
07/31/2019
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