Individual
DAVID M MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 BALLENGER AVE, SUITE 200, ALEXANDRIA, VA 22314-6818
(703) 810-5209
(703) 810-5414
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 215-3063
(804) 968-1803
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101273343
VA
207X00000X
Orthopaedic Surgery Physician
23990
MS
207X00000X
Orthopaedic Surgery Physician
M-12514
ID
Other
Enumeration date
04/21/2009
Last updated
06/24/2022
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