Individual
DIANE M MRAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13700 ST. FRANCIS BLVD, SUITE 305, MIDLOTHIAN, VA 23114-3222
(804) 320-2483
(804) 419-1860
Mailing address
13700 ST. FRANCIS BLVD, SUITE 305, MIDLOTHIAN, VA 23114-3222
(804) 320-2483
(804) 419-1860
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101055659
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6216935
—
VA
01
—
C09633
GROUP PTAN
—
Enumeration date
08/08/2006
Last updated
07/02/2013
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