Provider Demographics
NPI:1659869170
Name:VENNARD, DAVID ANTHONY JR (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANTHONY
Last Name:VENNARD
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:3636 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707
Mailing Address - Country:US
Mailing Address - Phone:757-398-2200
Mailing Address - Fax:757-398-2200
Practice Address - Street 1:3636 HIGH ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707
Practice Address - Country:US
Practice Address - Phone:757-398-2200
Practice Address - Fax:757-398-2200
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2021-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0102206408207P00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine