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Individual

MARIA DOUBROVSKAIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 OAK ST, FARMVILLE, VA 23901-1199
(434) 315-2960
(434) 315-2961
Mailing address
PO BOX 11889, LYNCHBURG, VA 24506-1889
(434) 947-3944
(866) 617-8273

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101241605
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00789315
MEDICARE RAILROAD CARRIER
Enumeration date
04/24/2007
Last updated
03/15/2010
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