Individual
DERALD P. GRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 RAY C. HUNT DRIVE, SUITE 3100, CHARLOTTESVILLE, VA 22903-7851
(434) 243-3633
(434) 243-1539
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101057941
VA
208VP0000X
Pain Medicine Physician
0101057941
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006802354
FIRST HEALTH
VA
05
—
006802354
—
VA
01
—
147149
SOUTHERN HEALTH
VA
01
—
41886
OPTIMA
VA
01
—
433065
ANTHEM
VA
01
—
6802354
VA PREMIER
VA
01
—
700027226
CIGNA
VA
Enumeration date
02/07/2006
Last updated
08/09/2023
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