Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 0101039259 | VA |
NPI | 1013950047 |
---|---|
Provider Name | Dennis G. Vollmer |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22903-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 22/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C86931 | (02) | |
C86931 | (02) | TX |