NPI 1043353774

Adrienne Dawn Pettebone, DO

Practitioner General Practice Physician Portsmouth, VA

Practice location

Address: 620 John Paul Jones Cir, Portsmouth, VA 23708-2197
Phone: (757) 953-1043

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 0102201977 (VA)

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Registry record

NPI: 1043353774
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Feb 2007
Record last updated: 23 Nov 2015

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.