Dr. SUPAKUNYA EDMONSON D.O.
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Neurology
Provider Information
- NPI Number
1366420853- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- USS ENTERPRISE MEDICAL DEPT, NORFOLK, VA, 235510001
- Phone
- (757) 444-8632
Specialties & Taxonomies
Psychiatry & Neurology, Neurology
License: MO #2022046492
Psychiatry & Neurology, Neurology
Primary License: VA #0102201767
All Addresses
MAILING
1714 POMPEY ST
VIRGINIA BEACH, VA, 234646514