Individual
MALCOLM JAMES MAGOVERN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(175) 738-8300
Mailing address
302 COLLEGE AVE, ASHLAND, VA 23005-1613
(804) 869-7361
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101278682
VA
Other
Enumeration date
03/27/2019
Last updated
02/06/2024
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