OLD DOMINION UNIVERSITY STUDENT HEALTH SERVICES NPI 1508902743

NPI Information

OLD DOMINION UNIVERSITY STUDENT HEALTH SERVICES is a student health clinic center in Norfolk, VA. OLD DOMINION UNIVERSITY STUDENT HEALTH SERVICES NPI is 1508902743. The provider is registered as an organization entity type.

The provider's business location address is:

1007 S WEBB CTR
NORFOLK, VA
ZIP 23529-001
Phone: (757) 683-3132

The provider's authorized official is Robert Frey Dunker .
The authorized official title is Medical Director and has the following contact phone number (757) 683-3132.

The CLIA number assigned to this NPI record is 49D0674919 - school/student health service with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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