Individual
JOHN WEATHERWAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH NAVAL MEDICAL CENTER MEDICAL STAFF SERVICES, PORTSMOUTH, VA 23708-2111
(757) 953-7550
Mailing address
3809 LAMPLIGHTER CT, PORTSMOUTH, VA 23703-2271
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME108522
FL
Other
Enumeration date
01/30/2007
Last updated
01/10/2020
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