Individual
DR. DAVID RICHARD ANTONIO
Active
Individual
DR. DAVID RICHARD ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101034363
VA
207X00000X
Orthopaedic Surgery Physician
Primary
0101034363
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011595
ANTHEM HEALTH PLANS OF VA
VA
05
—
1750374005
—
VA
01
—
200005729
RAILROAD MEDICARE
VA
05
—
64-12785
—
VA
01
—
P00717232
RR MEDICARE
VA
Enumeration date
08/23/2005
Last updated
02/05/2013
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