Individual
DYLAN N. DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 IVY RD, CHARLOTTESVILLE, VA 22903
(434) 243-3600
(434) 244-4454
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101245069
VA
207X00000X
Orthopaedic Surgery Physician
2007-00484
NC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
0101245069
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407061476
—
VA
01
—
147CG
BCBS
NC
01
—
201083
MEDCOST
NC
05
—
3810008709
—
WV
05
—
5907035
—
NC
01
—
810610
PARTNERS
NC
01
—
9203121
AETNA
NC
05
—
Q0048J
—
SC
Enumeration date
05/13/2007
Last updated
08/09/2023
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