Individual
DAVID RATCLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
565 RADIO HILL RD, MARION, VA 24354-6587
(276) 782-1234
Mailing address
22762 OSPREY RIDGE RD, BRISTOL, VA 24202-5050
(276) 466-4931
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0101237075
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015064C58
MEDICARE INDIVIDUAL PTAN CVFP
—
01
—
0907130010
CIGNA GOVERNMENT CVFP
—
05
—
1780637561
—
VA
01
—
2172994
UNITED HEALTHCARE GROUP CVFP
—
01
—
308553
ANTHEM CVFP
—
05
—
5630350000
—
WV
01
—
5934513
AETNA CVFP
—
01
—
C03658
MEDICARE GROUP PTAN CVFP
—
Enumeration date
05/19/2006
Last updated
06/01/2011
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