Search › Virginia › 363A00000X

Dat Vo

NPI 1801543996 · on the registry since 2022

Practice

Address
100 Baldwin Blvd
Fishersville, VA 22939
Phone
(540) 887-4000
Clinicians at this address
26

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
390200000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia