Individual
DR. LUCIANO D'AMATO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 W MAIN ST, WISE, VA 24293-6904
(276) 328-7050
(273) 328-2989
Mailing address
PO BOX 3416, WISE, VA 24293-3416
(276) 328-7050
(276) 328-2989
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101039667
VA
Other
Enumeration date
06/15/2005
Last updated
07/09/2007
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