Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 0101262113 | VA |
NPI | 1073838926 |
---|---|
Provider Name | Gloria T Too |
First Address | Norfolk, VA 23501-0936 |
Second Address | Norfolk, VA 23507-1914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2010 |
Last Update Date | 02/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1073838926 | (05) | VA |
1073838926 | TRICARE/CHAMPUS (01) | VA |
1073838926 | USA MANAGED CARE (01) | VA |
1073838926 | VIRGINIA PREMIER HEALTH PLAN (01) | VA |