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Individual

DR. MATTHEW A DOBZYNIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 MAPLE AVE, NW MOB SUITE 200, RICHMOND, VA 23226-2553
(804) 285-2300
(804) 285-8420
Mailing address
PO BOX 71690, RICHMOND, VA 23255-1690
(804) 285-2300
(804) 285-8420

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0101236061
VA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
01011236061
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010074096
VA
01
173232
ANTHEM
VA
Enumeration date
05/18/2006
Last updated
08/15/2019
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