Healthcare Provider Details

I. General information

NPI: 1457549115
Provider Name (Legal Business Name): ANNA MARGARITA GUERRA DUMONT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA MARGARITA GUERRA DO

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 34
MOSELEY VA
23120-0034
US

IV. Provider business mailing address

PO BOX 34
MOSELEY VA
23120-0034
US

V. Phone/Fax

Practice location:
  • Phone: 412-600-7950
  • Fax:
Mailing address:
  • Phone: 412-600-7950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberOS014359
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0102206176
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: