Healthcare Provider Details

I. General information

NPI: 1912900861
Provider Name (Legal Business Name): DAVID B SCHINDERLE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 S ROSEMONT RD STE 215
VIRGINIA BEACH VA
23452-4336
US

IV. Provider business mailing address

138 S ROSEMONT RD STE 215
VIRGINIA BEACH VA
23452-4336
US

V. Phone/Fax

Practice location:
  • Phone: 757-431-9551
  • Fax: 757-431-9663
Mailing address:
  • Phone: 757-431-9551
  • Fax: 757-431-9663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101232422
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: