Provider First Line Business Practice Location Address:
NAVAL MEDICAL CENTER PORTSMOUTH
Provider Second Line Business Practice Location Address:
DEPARTMENT OF DERMATOLOGY, 620 JOHN PAUL JONES CIRCLE
Provider Business Practice Location Address City Name:
PORTSMOUTH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-953-0291
Provider Business Practice Location Address Fax Number:
757-953-0862
Provider Enumeration Date:
06/14/2011