Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 0101271644 | VA |
N | 2080N0001X | Neonatal-Perinatal Doctor | 0101271644 | VA |
N | 2080P0204X | Pediatric Emergency Doctor | 0101271644 | VA |
NPI | 1194213678 |
---|---|
Provider Name | Dr. David Earl Marriott |
First Address | Norfolk, VA 23509-1111 |
Second Address | Norfolk, VA 23507-1910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2018 |
Last Update Date | 10/09/2021 |