Dr. CARLOS JAVIER GLANVILLE MIRANDA M.D.
Individual Provider (NPI-1)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1275705253- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 2790 GODWIN BLVD STE 305, SUFFOLK, VA, 234348158
- Phone
- (757) 931-4222
- Fax
- (757) 934-4111
Specialties & Taxonomies
Surgery
License: VA #0101252033
Surgery
License: PA #MT188562
Colon & Rectal Surgery
Primary License: VA #0101252033