Individual
JUSTIN DAVID DUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1115 BOULDERS PKWY STE 100, NORTH CHESTERFIELD, VA 23225-4067
(804) 320-1339
Mailing address
1115 BOULDERS PKWY, STE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
OT016687
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0102205969
VA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OT016687
PA
Other
Enumeration date
06/30/2015
Last updated
07/10/2020
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