Individual
DR. DANIEL WESLEY DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 GLENSIDE DR STE 101, RICHMOND, VA 23226-3769
(804) 248-3001
(804) 673-5614
Mailing address
1800 GLENSIDE DR, SUITE 105, RICHMOND, VA 23226-3769
(804) 288-0399
(804) 285-0088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101234005
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010070350
—
VA
01
—
139259
ANTHEM
VA
01
—
P00126240
RAILROAD MEDICARE
VA
Enumeration date
02/23/2006
Last updated
01/03/2012
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