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DAVID G DISLER MD

Physicians Radiology Body Imaging

Provider NPI: 1457330003

Provider Information:
 DAVID G DISLER MD
Gender: M
Not Sole Proprietor

Practice Location:
1508 WILLOW LAWN DR STE 117 RICHMOND, VA 23230-3421 US
Tel: 804-288-8102  Fax: 804-282-3744

Business Mailing Address:
1508 WILLOW LAWN DR STE 117 RICHMOND, VA 23230-3421 US
Tel: 804-288-8102  Fax: 804-282-3744

NPI Information:
NPI: 1457330003
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2085B0100XPhysicians
Radiology
Body Imaging
VA0101058139
N2085N0700XPhysicians
Radiology
VA0101058139
N2085N0904XPhysicians
Radiology
VA0101058139
N2085P0229XPhysicians
Radiology
VA0101058139
Y2085R0202XPhysicians
Radiology
VA0101058139
N2085R0204XPhysicians
Radiology
VA0101058139
N2085U0001XPhysicians
Radiology
VA0101058139

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM224564VA01
1457330003VA05



American Medical Association 2012 taxonomy code information

Code: 2085R0202X

Type:

Classification:



Definition:



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