Individual
DANA A TWIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4400
(703) 698-4483
(703) 573-0880
Mailing address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4400
(703) 698-4483
(703) 573-0880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101240483
VA
2085R0202X
Diagnostic Radiology Physician
MD14614
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092
CAREFIRST BCBS
VA
01
—
0101240483
LICENSE
VA
05
—
010332729
—
VA
01
—
101385
KAISER
VA
01
—
1548336
AETNA HMO
—
01
—
4212011
AETNA PPO
VA
Enumeration date
10/25/2005
Last updated
03/07/2023
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