NPI 1184086779

U.S.Navy

Organisation Military Hospital Portsmouth, VA

Practice location

Address: 470 Middle St APT 220, Portsmouth, VA 23704-2813
Phone: (757) 953-6741

Authorised official

Name: Marcus Vansickle
Title: Clinical Psychology Intern
Phone: (757) 953-6741

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X

Other Military Hospital providers in Virginia →

Registry record

NPI: 1184086779
Entity type: Organization
NPI issued: 23 Mar 2016
Record last updated: 23 Mar 2016

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.