| Bon Secours Depaul Medical Center Inc | |
|
908 Eden Way N Ste 100 Chesapeake VA 23320-3336 | |
| (757) 738-1350 | |
| (757) 413-5450 |
| Full Name | Bon Secours Depaul Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 908 Eden Way N Ste 100, Chesapeake, Virginia |
| Authorized Official Name and Position | Stephan Quiriconi (CFO) |
| Authorized Official Contact | 8042818301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Depaul Medical Center Inc 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: (804) 627-5462 | Bon Secours Depaul Medical Center Inc 908 Eden Way N Ste 100 Chesapeake VA 23320-3336 Ph: (757) 738-1350 |
| NPI Number | 1205246519 |
|---|---|
| Provider Enumeration Date | 05/08/2014 |
| Last Update Date | 05/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205246519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | (* (Not Available)) | Secondary |
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