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Weight Loss Surgery Center
Specialist in Newport News, Virginia
NPI 1245394394

Weight Loss Surgery Center is a Specialist based in Newport News, VA. Weight Loss Surgery Center practices in Newport News, VA. The NPI Number for Weight Loss Surgery Center is 1245394394 and holds a License No. 0101050712 (Virginia).

The current practice location address for Weight Loss Surgery Center is 645 J Clyde Morris Blvd, Newport News, VA and can be reached out via phone at 757-591-9572 and via fax at 757-591-9606.

Location: 645 J Clyde Morris Blvd, Newport News, VA, 23601-1819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245394394
Provider Name
Weight Loss Surgery Center
Credential
Provider Entity Type
Organization
Address
645 J Clyde Morris Blvd, Newport News, VA, 23601-1819
Phone Number
757-591-9572
Fax Number
757-591-9606
Provider Enumeration Date
12/21/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
138438 01 VA ANTHEM DR. TERRACINA
453810 01 VA ANTHEM DR. THOMAS CLARK
7312059 05 VA
institution
Provider Business Practice Location Address Details
Address
645 J Clyde Morris Blvd
City
Newport News
State
Virginia
Zip
23601-1819
Phone Number
757-591-9572
Fax Number
757-591-9606
person
Provider Business Mailing Address Details
Address
645 J Clyde Morris Blvd
City
Newport News
State
Virginia
Zip
23601-1819
Phone Number
757-591-9572
Fax Number
757-591-9606
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101050712 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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