Individual
DR. ROSIER DAVIS DEDWYLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16463 DAHLGREN RD, KING GEORGE, VA 22485-5810
(540) 644-9505
(540) 644-9508
Mailing address
PO BOX 1460, FREDERICKSBURG, VA 22402-1460
(540) 786-2100
(540) 786-0677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101035907
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871567073
CIGNA
VA
05
—
1871567073
—
VA
Enumeration date
02/14/2006
Last updated
02/04/2013
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