NPI 1033441936

Mini-Medic

Organisation Family Medicine Physician Virginia Beach, VA

Practice location

Address: 1788 Republic Rd Suite 400, Virginia Beach, VA 23454-4552
Phone: (757) 343-4221

Authorised official

Name: Glenn Robert McDermott
Title: Owner
Phone: (757) 343-4221

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 0101034588 (VA)

Other Family Medicine providers in Virginia →

Registry record

NPI: 1033441936
Entity type: Organization
NPI issued: 3 Feb 2010
Record last updated: 3 Feb 2010

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.