Individual
ALEXIS ANNE DIMAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13700 ST FRANCIS BLVD, EMERGENCY DEPARTMENT, MIDLOTHIAN, VA 23114-3222
(804) 594-7950
(804) 594-7955
Mailing address
38935 ANN ARBOR RD, CREDENTIALING DEPARTMENT, LIVONIA, MI 48150-3397
(888) 861-8740
(866) 250-6385
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101243135
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12509856
CAQH
—
Enumeration date
05/25/2007
Last updated
03/26/2013
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