# DR. MICHAEL DAVID MAURO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285811695
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 0102203398 | VA | — |
| 207X00000X | Orthopaedic Surgery Physician | 20A15837 | CA | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 10/25/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1285811695 | ANTHEM | VA |
| 05 | — | 1285811695 | — | VA |
| 01 | — | 1585811695 | VIRGINIA HEALTH NETWORK | VA |
| 01 | — | 541586601166 | TRICARE | VA |