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Contact Information

DAVID R ANTONIO, MD
95 HARRIS RD
BUILDING 5
KILMARNOCK, VA22482-3845
 Phone: 804-435-3146
 Fax: 804-435-6054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DAVID R ANTONIO · (Male)

NPI Number 1750374005
Status Active
Credentials MD
Entity Individual
Enumeration date 08/23/2005
Last updated 02/05/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101034363
  • VA Medicaid 1750374005
  • VA Medicaid 64-12785
  • VA Other 011595 ANTHEM HEALTH PLANS OF VA
  • VA Other 200005729 RAILROAD MEDICARE
  • VA Other P00717232 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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