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NPI Code Detail

MEDICARE: OLD DOMINION UNIVERSITY STUDENT HEALTH SERVICES

MEDICARE: OLD DOMINION UNIVERSITY STUDENT HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QS1000XStudent Health Clinic/Center

General Provider Information

NPI Number : 1508902743
Entity Type Code : Organization
Provider Name (Legal Business Name) : OLD DOMINION UNIVERSITY STUDENT HEALTH SERVICES
Provider Business Mailing Address
First Line : 1007 S WEBB CTR
Second Line :
City : NORFOLK
State : VA
Zip : 23529-0001
Country : US
Telephone Number : 757-683-3132
Fax Number :
Provider Business Practice Location Address
First Line : 1007 S WEBB CTR
Second Line :
City : NORFOLK
State : VA
Zip : 23529-0001
Country : US
Telephone Number : 757-683-3132
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. ROBERT FREY DUNKER
Credential : M. D.
Telephone Number : 757-683-3132
Provider Enumeration Date : 01/29/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1720057110 — DR. LISA RENEE KOPERNA PT, DPT, SCS, ATC
Practice Location Address:
1015 W 47TH ST
NORFOLK, VA
23529-0001
Practice Phone: 757-683-4228
Practice Fax: 757-683-7050
1588744726 — ROBERT FREY DUNKER M.D.
Practice Location Address:
1007 S WEBB CTR
NORFOLK, VA
23529-0001
Practice Phone: 757-683-3132
Practice Fax: 757-683-5930
1689792798 — MR. JASON CHRISTOPHER MITCHELL MSED, ATC, V, ATL
Practice Location Address:
OLD DOMINION UNIVERSITY , ATHLETIC ADMINISTRATION BUILDING #1113C
NORFOLK, VA
23529-0001
Practice Phone: 757-683-6462
Practice Fax: 757-683-5445
1265743264 — MRS. FRANCES LOKEY NEWMAN FNP
Practice Location Address:
STUDENT HEALTH SERVICES 1007 S WEBB CTR
NORFOLK, VA
23529-0001
Practice Phone: 757-683-3132
Practice Fax: 757-683-5930
1972870293 — MR. SCOTT JOSEPH JOHNSON
Practice Location Address:
ATHLETIC DEPARTMENT , OLD DOMINION UNIVERSITY
NORFOLK, VA
23529-0001
Practice Phone: 757-683-3383
Practice Fax: 757-683-5445
1770843690 — MS. JENNIFER JANE FOSS NP
Practice Location Address:
OLD DOMINION UNIVERSITY STUDENT , 1007 SOUTH WEBB CENTER
NORFOLK, VA
23529-0001
Practice Phone: 757-683-3132
Practice Fax: 757-683-5930

Directions to “OLD DOMINION UNIVERSITY STUDENT HEALTH SERVICES ” Practice Location

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