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NPI Code Detail

MEDICARE: DR. DAVID A. BETTINGER M.D.

MEDICARE: DR. DAVID A. BETTINGER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician0101046926VA
2208600000XSurgery Physician0101-046926VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942286042
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID A. BETTINGER M.D.
Provider Business Mailing Address
First Line : 1051 JOHNSTON WILLIS DR
Second Line : ST. 200
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-4871
Country : US
Telephone Number : 804-320-2705
Fax Number : 804-330-2433
Provider Business Practice Location Address
First Line : 1051 JOHNSTON WILLIS DR
Second Line : ST. 200
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-4871
Country : US
Telephone Number : 804-320-2705
Fax Number : 804-330-2433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 01/21/2022

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Directions to “ DR. DAVID A. BETTINGER M.D.” Practice Location

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