Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 0101040176 | VA |
NPI | 1003894809 |
---|---|
Provider Name | Dr. David S. Hunt |
First Address | Roanoke, VA 24018-4357 |
Second Address | Roanoke, VA 24018-4357 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 10/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003894809 | (05) | VA |
B07067 | (02) |