Individual
DR. LUDGERIO ZABALA CLAUSTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CLINIC DR, CLAYPOOL HILL, RICHLANDS, VA 24641-1102
(276) 964-6771
(276) 964-1376
Mailing address
PO BOX CVPI, RICHLANDS, VA 24641-1100
(276) 964-6771
(276) 964-1376
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101024859
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080186223
RAILROAD MEDICARE
—
01
—
141655
ANTHEM BCBS
—
05
—
1812319-000
—
WV
05
—
5644691
—
VA
05
—
64053663
—
KY
Enumeration date
11/04/2005
Last updated
03/10/2010
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