David P Blais, MD Valid NPI

Individual provider · Internal Medicine Physician · Norfolk, VA

NPI

1174598155

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

0101040001 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-22

Last updated

2019-10-16