Individual
DR. CLAUDINE H DESAMOURS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10302 BRISTOW CENTER DR, ST 173, BRISTOW, VA 20136-2201
(540) 454-9944
(540) 680-2143
Mailing address
10302 BRISTOW CENTER DR, ST 173, BRISTOW, VA 20136-2201
(540) 454-9944
(540) 680-2143
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101236758
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205920246
—
VA
01
—
139180
ANTHEM
VA
01
—
249158
KAISER
VA
01
—
292852
AMERIGROUP
VA
01
—
484645
NCPPO
VA
01
—
K142-0001
CARE FIRST 2005
VA
01
—
P00322422
RAILROAD MEDICARE
VA
Enumeration date
10/03/2006
Last updated
04/15/2015
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