Individual
DR. DEAN V DIMOTSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
15 PRATTS RUN, #105, WAYNESBORO, VA 22980-6606
(540) 946-9177
Mailing address
15 PRATTS RUN, #105, WAYNESBORO, VA 22980-6606
(540) 946-9177
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000371
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035371
ANTHEM
VA
01
—
1336330620
VIRGINIA PREMIER
VA
01
—
1336330620
GROUP NPI
—
05
—
1336330620
—
VA
01
—
1588847982
NPI GROUP LEXINGTON
VA
01
—
1760426357
NPI
VA
01
—
283489
ANTHEM
VA
01
—
C10346
MEDICARE GROUP PIN
VA
01
—
DG6187
RAILROAD MEDICARE GROUP
VA
01
—
P00444410
RAILROAD MEDICARE PIN
VA
Enumeration date
06/15/2006
Last updated
09/24/2014
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