Individual
DANIEL E CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
860 OMNI BLVD, SUITE 203, NEWPORT NEWS, VA 23606-4430
(757) 327-0657
(757) 327-0658
Mailing address
860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 23606-4430
(757) 232-8777
(757) 232-8866
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
010105102
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010230381
—
VA
01
—
184581
ANTHEM
VA
01
—
P00289008
RR/MEDICARE
—
Enumeration date
11/07/2005
Last updated
09/07/2011
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