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Individual

DR. DAVID AULT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 R ST NW STE C9, WASHINGTON, DC 20009-1647
(202) 986-0371
(202) 986-0412
Mailing address
1800 R ST NW STE C9, WASHINGTON, DC 20009-1647
(202) 986-0371
(202) 986-0412

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD33367
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23653
CHARTERED HEALTH PLAN
DC
01
281810
AMERIGROUP(MEDICAID MCO)
DC
01
5181
HEALTHRIGHT(MEDICAID MCO)
DC
Enumeration date
02/13/2007
Last updated
07/21/2022
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