THEODORE M HALLBERG

CHESAPEAKE, VA
NPI1255331757
Former NameTHEODORE M HALLBERG
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: VA  0601002124)
Enumeration Date2005-07-26
Last Update Date2010-07-21
Business Address
Mr. THEODORE M HALLBERG OD
3206 CHURCHLAND BLVD
CHESAPEAKE, VA 23321-5206
Phone number: 757-484-0101
Mailing Address
Mr. THEODORE M HALLBERG OD
3206 CHURCHLAND BLVD
CHESAPEAKE, VA 23321-5206
Phone number: 757-484-0101