NPI | 1033441936 |
---|---|
Doing Business As | GLENN R. MCDERMOTT, MD |
Entity Type | Organization |
Authorized Contact | GLENN ROBERT MCDERMOTT Owner 757-343-4221 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101034588) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2010-02-03 |