Individual
DR. DAVID E. SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
812 AMHERST ST, STE 201, WINCHESTER, VA 22601
(540) 450-1600
(540) 450-0166
Mailing address
812 AMHERST ST, STE 201, WINCHESTER, VA 22601
(540) 450-1600
(540) 450-0166
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101221449
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073574612
—
VA
01
—
298306
BLUE CROSS OF VIRGINIA
VA
05
—
6000048000
—
WV
Enumeration date
03/31/2006
Last updated
08/04/2011
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