| Fire And Ice Recovery, Llc | |
|
11838 Canon Blvd Ste 100 Newport News VA 23606-2592 | |
| (757) 272-1746 | |
| Not Available |
| Full Name | Fire And Ice Recovery, Llc |
|---|---|
| Speciality | General Practice |
| Location | 11838 Canon Blvd Ste 100, Newport News, Virginia |
| Authorized Official Name and Position | David Hannum (OWNER) |
| Authorized Official Contact | 7572541654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fire And Ice Recovery, Llc 11838 Canon Blvd Ste 100 Newport News VA 23606-2592 Ph: (757) 272-1746 | Fire And Ice Recovery, Llc 11838 Canon Blvd Ste 100 Newport News VA 23606-2592 Ph: (757) 272-1746 |
| NPI Number | 1225802499 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225802499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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