Individual
DAVID LEE TOLLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
110 HUFFARD DR, BLUEFIELD, VA 24605-9209
(276) 326-3376
(276) 326-3046
Mailing address
110 HUFFARD DR, BLUEFIELD, VA 24605-9209
(276) 326-3376
(276) 326-3046
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0102050026
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010043565
—
VA
Enumeration date
12/28/2005
Last updated
09/04/2009
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