INDIAN RIVER FAMILY PRACTICE PC

CHESAPEAKE, VA
NPI1629155122
Entity TypeOrganization
Authorized ContactLARRY HOWARD KAGAN
Secretary Treasurer
757-420-8297
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-11-01
Last Update Date2020-08-22
Business Address
INDIAN RIVER FAMILY PRACTICE PC
1016 JUSTIS ST
CHESAPEAKE, VA 23325
Phone number: 757-420-8297
Mailing Address
INDIAN RIVER FAMILY PRACTICE PC
1016 JUSTIS ST
CHESAPEAKE, VA 23325
Phone number: 757-420-8297
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