Individual
DANIEL B DRYSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. PC
Contact information
Practice address
3645 S MAIN ST, BLACKSBURG, VA 24060-7018
(540) 951-0525
(540) 953-1539
Mailing address
3645 S MAIN ST, BLACKSBURG, VA 24060-7018
(540) 951-0525
(540) 953-1539
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101029249
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006374760
—
VA
01
—
064462
ANTHEM PROVIDER NUMBER
VA
01
—
1952631723
TYPE II DME NPI CORPORATE DMERC
VA
Enumeration date
06/20/2006
Last updated
10/13/2011
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