NPI 1013986579

Hampton Roads Medical Specialists PC

Organisation Infectious Disease Physician Meridian, ID

Practice location

Address: 2131 S Bonito Way, Meridian, ID 83642-1659
Phone: (208) 489-9500
Mailing address: 26 Town Center Way # 704, Hampton, VA 23666-1999

Authorised official

Name: Stephen L Green
Title: President
Phone: (757) 869-9922

Registered specialties

Infectious Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RI0200X Licence 0101028335 (VA)

Other Internal Medicine providers in Idaho →

Registry record

NPI: 1013986579
Entity type: Organization
NPI issued: 16 Mar 2006
Record last updated: 21 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.