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1558331157
CHARLES FROST
PORTSMOUTH, VA
NPI
1558331157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: VA 0110001327)
Enumeration Date
2006-01-25
Last Update Date
2007-07-08
Business Address
-- CHARLES FROST PA-C
620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-1813
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Mailing Address
-- CHARLES FROST PA-C
1748 GREY FRIARS CHASE
VIRGINIA BEACH, VA 23456-5436
Phone number: 757-953-1899
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