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Individual

DR. WILLIAM SUKOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 PETER JEFFERSON PKWY, STE 170, CHARLOTTESVILLE, VA 22911-8835
(434) 977-3001
(434) 977-3002
Mailing address
600 PETER JEFFERSON PKWY, STE 170, CHARLOTTESVILLE, VA 22911-8835
(434) 977-3001
(434) 977-3002

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
0101238298
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010240573
VA
01
10003995
COMMUNITY HEALTH
VA
05
10003995
VA
01
1219881
CIGNA
VA
01
188897
ANTHEM/HEALTHKEEPERS
VA
05
188897
VA
01
415564
SOUTHERN HEALTH
VA
01
738220
MAMSI
VA
01
P00285406
MEDICARE PIN
VA
Enumeration date
11/10/2005
Last updated
07/22/2010
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