Individual
TODD H DEHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4830 RUCKER RD, MONETA, VA 24121-5281
(540) 297-7181
(540) 297-6145
Mailing address
4830 RUCKER RD, MONETA, VA 24121-5281
(540) 297-7181
(540) 297-6145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101047583
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079444
ANTHEM
VA
05
—
5648661
—
VA
01
—
BD3042316
NONE PROVIDED
—
Enumeration date
07/13/2005
Last updated
11/01/2011
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