Healthcare Provider Details

I. General information

NPI: 1083817811
Provider Name (Legal Business Name): ANASTASIA DUMBRA CLEARY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 MAIN ST
WARSAW VA
22572-5216
US

IV. Provider business mailing address

PO BOX 1712
WARSAW VA
22572-1712
US

V. Phone/Fax

Practice location:
  • Phone: 804-207-3194
  • Fax: 804-207-3141
Mailing address:
  • Phone: 804-207-3194
  • Fax: 804-207-3141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101239798
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: