Healthcare Provider Details

I. General information

NPI: 1225016470
Provider Name (Legal Business Name): DAVID DEAN KRIEGER D.O., M.P.H., M.B.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2006
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 N MEDICAL PARK DR SUITE 101
FISHERSVILLE VA
22939-2353
US

IV. Provider business mailing address

PO BOX 388
FISHERSVILLE VA
22939-0388
US

V. Phone/Fax

Practice location:
  • Phone: 540-221-7520
  • Fax: 540-221-7521
Mailing address:
  • Phone: 540-932-4629
  • Fax: 540-932-4616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number28040
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number0102203219
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: