Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 0102203022 | VA |
NPI | 1003045790 |
---|---|
Provider Name | Dr. Adrian Dews SR. |
First Address | Livonia, MI 48150-3397 |
Second Address | Newport News, VA 23602-4499 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2009 |
Last Update Date | 17/07/2015 |