Individual
MICHAEL T CANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
789 PINEY FOREST RD, SUITE B, DANVILLE, VA 24540-2877
(434) 799-9430
(434) 792-8438
Mailing address
789 PINEY FOREST RD, SUITE B, DANVILLE, VA 24540-2877
(434) 799-9430
(434) 792-8438
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103 000583
VA
213E00000X
Podiatrist
219
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009301631
—
VA
01
—
017094
ANTHEM
VA
01
—
890803N
BCBS OF NORTH CAROLINA
NC
Enumeration date
06/16/2006
Last updated
03/29/2013
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