Organization
PENINSULA PATHOLOGY ASSOCIATES OF VIRGINIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M SMITH MD (PRESIDENT)
(757) 594-2867
Entity
Organization
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
PO BOX 19100, ROANOKE, VA 24019-1010
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
0101054006
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101054006
VA
Other
Enumeration date
11/11/2014
Last updated
11/18/2014
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