Individual
DR. ANTHONY DANIEL RASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
231 MEDICAL PARK DRIVE, SUITE 300, BLUEFIELD, VA 24605-2002
(276) 322-5400
(276) 322-5557
Mailing address
PO BOX 1300, BLUEFIELD, WV 24701-1300
(276) 322-5400
(276) 322-5557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102201307
VA
207Q00000X
Family Medicine Physician
740
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001709761
MOUNTAIN STATE BCBS
WV
05
—
0049569000
—
WV
05
—
005692393
—
VA
01
—
1022652
BRICKSTREET (WV WORK COMP
WV
01
—
259291ML2
MAMSI
MD
01
—
292358
ANTHEM BCBS
VA
Enumeration date
07/09/2006
Last updated
12/08/2007
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