Individual
NICHOLES A DASOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
142 S MAIN ST, EMERGENCY DEPT, DANVILLE, VA 24541-2922
(434) 799-2222
(434) 799-3857
Mailing address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 251-3318
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001598
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010187966
—
VA
Enumeration date
05/24/2006
Last updated
09/03/2010
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