Liberty Healthcare Llc
Family Medicine Physician in Virginia Beach, VA(View on Map)
Legal Business Name
Liberty Healthcare Llc
NPI Number
1720332349
NPI Type
Organization
Enumeration Date
11/05/2012
Specialties
(Taxonomies)Licenses
State
Virginia
License Number
140177
Contact
Information
Purpose
Mailing
Location
Address
3454 E STONE MOUNTAIN LN
5589 GREENWICH RD
City
Sandy
Virginia Beach
State
UT
VA
Postal Code
84092-6549
23462-6565
Country
US
US
Telephone Number
(801) 808-2357
(757) 216-9115
Authorized Official
Name
Derk Pardoe
Title or Position
PARTNER
Telephone Number
(801) 808-2357
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/05/2012
Provider Address
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