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Individual

DR. DWAYNE E STRATTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4605
Mailing address
5104 AUSTIN HEALEY DR, GLEN ALLEN, VA 23059-5817
(804) 405-3299

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101059198
VA
207P00000X
Emergency Medicine Physician
44156
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005827761
VA
05
005827779
VA
05
005830770
VA
05
1063413466
VA
05
1507137
TN
01
232562
BLUE SHIELD
VA
01
255455
BLUE SHIELD
VA
01
283922
BLUE SHIELD
VA
01
283923
BLUE SHIELD
VA
Enumeration date
08/09/2005
Last updated
03/04/2015
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