Individual
FREDERICK CARL MAUTE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
927 S MAIN ST, DANVILLE, VA 24541-4001
(434) 797-4620
(434) 793-8992
Mailing address
927 S MAIN ST, DANVILLE, VA 24541-4001
(434) 797-4620
(434) 793-8992
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0101039725
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051066
ANTHEM
VA
05
—
6241026
—
VA
Enumeration date
05/10/2006
Last updated
07/08/2007
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