Whalio Doctors

NPI 1699764340

Raymond Joseph Clydesdale, DO

Practitioner Aerospace Medicine Physician Hampton, VA

Practice location

Address
633 Medical Group 77 Nealy Avenue, Hampton, VA 23665-2040
Phone
(757) 225-7630
Mailing address
633 Medical Group 77 Nealy Avenue, Langley Afb, VA 23665

Registered specialties (3)

Aerospace Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence OS12364 (PA)
Occupational Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence OS12364 (PA)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence OS12364 (PA)

Registry record

NPI
1699764340
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Oct 2005
Record last updated
12 Jun 2024

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.