Individual
IVAN BELMONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10800 MIDLOTHIAN TPKE, SUITE 207, NORTH CHESTERFIELD, VA 23235-4724
(804) 594-2622
(804) 594-0915
Mailing address
3100 SPRING FOREST RD, STE 130, RALEIGH, NC 27616-2880
(919) 882-7908
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001204212
VA
Other
Enumeration date
01/21/2015
Last updated
06/13/2016
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