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Individual

DR. JOHN MARK DIGRAZIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7401 BEAUFONT SPRINGS DR, SUITE 100, RICHMOND, VA 23225-5520
(804) 323-5011
(804) 323-5120
Mailing address
8001 FRANKLIN FARMS DR, SUITE 130, RICHMOND, VA 23229-5108
(804) 521-5800
(804) 545-4340

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101035552
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101035552
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103862
ANTHEM/VA HEALTHKEEPERS
VA
01
110911
ANTHEM/VA HEALTHKEEPERS
VA
01
110923
ANTHEM/VA HEALTHKEEPERS
VA
01
110929
ANTHEM/VA HEALTHKEEPERS
VA
01
111022
ANTHEM/VA HEALTHKEEPERS
VA
01
1369207
CIGNA
VA
01
27413300
FEDERAL BLACK LUNG
VA
01
276261
ANTHEM/VA HEALTHKEEPERS
VA
01
276346
ANTHEM/VA HEALTHKEEPERS
VA
01
311468
MAMSI
VA
01
4063359
AETNA/US HEALTHCARE
VA
01
44217
OPTIMA HEALTH
VA
01
500551
AETNA/US HEALTHCARE HMO
VA
01
56362
SOUTHERN HEALTH
VA
01
60035366
RAILROAD MEDICARE
VA
05
6079067
VA
Enumeration date
07/12/2006
Last updated
07/09/2014
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