Michael David Whittendale JR., DO - Portsmouth, VA

Michael David Whittendale JR., DO

Military Health Care Provider in Portsmouth, Virginia

NPI 1598452369

Michael David Whittendale JR. is a Military Health Care Provider based in Bedford, VA. Michael David Whittendale JR. practices in Portsmouth, VA and has the professional credentials of DO. The NPI Number for Michael David Whittendale JR. is 1598452369 and holds a License No. 0116038066 (Virginia).

The current practice location address for Michael David Whittendale JR. is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 631-873-7798.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 76021-2444

NPI Number

1598452369

Provider Name

Michael David Whittendale JR.

Credential

Provider Entity Type

Individual

Gender

Male

Address

620 John Paul Jones Cir, Portsmouth, VA, 76021-2444

Phone Number

631-873-7798

Fax Number

Provider Enumeration Date

04/20/2023

Last Update Date

04/14/2024

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

631-873-7798

Fax Number

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

631-873-7798

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

0116038066 (Virginia)

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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