Individual
DR. JOHN DIMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 BUSH RIVER DR, FARMVILLE, VA 23901-3179
(434) 392-3187
(434) 392-5789
Mailing address
214 BUSH RIVER DR, FARMVILLE, VA 23901-3179
(434) 392-3187
(434) 392-5789
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101260965
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101260965
VIRGINIA MEDICAL LICENSE NUMBER
VA
Enumeration date
08/05/2016
Last updated
08/05/2016
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