Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 0101246473 | VA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 0101246473 | VA |
NPI | 1245203678 |
---|---|
Provider Name | Dr. Allison R Durica |
First Address | Roanoke, VA 24013-2222 |
Second Address | Roanoke, VA 24013-2222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 17/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001967193 | (05) | PA |
0091049-00 | (05) | MD |
101466 | GEISINGER HEALTH PLAN (01) | PA |
1505416 | HIGHMARK (01) | PA |
1533459 | GATEWAY-WMG (01) | PA |
180477 | UNISON-WMG (01) | PA |
20053950 | AMERIHEALTH MERCY-WMG (01) | PA |
203252 | JOHNS HOPKINS (01) | PA |
2193683000 | AMERIHEALTH 65 PA (01) | PA |
3147337 | MAMSI-WMG (01) | PA |
50058985 | CAPITAL BLUE CROSS-WMG (01) | PA |
7826672 | AETNA (01) | PA |
882265 | CAREFIRST MD BCBS (01) | MD |
H87737 | (02) | PA |