person
David M. Avance, PA-C
Surgical Physician Assistant in Farmville, Virginia
NPI 1952387748

David M. Avance is a Surgical Physician Assistant based in Farmville, VA and is specialized in Surgical. David M. Avance practices in Farmville, VA and has the professional credentials of PA-C. The NPI Number for David M. Avance is 1952387748 and holds a License No. 0110840639 (Virginia).

The current practice location address for David M. Avance is 202 Agee St, Farmville, VA and can be reached out via phone at 434-392-6143 and via fax at 434-392-3866.

Location: 202 Agee St, Farmville, VA, 23901-2617
person
Provider Profile Details
NPI Number
1952387748
Provider Name
David M. Avance
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
202 Agee St, Farmville, VA, 23901-2617
Phone Number
434-392-6143
Fax Number
434-392-3866
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
203639329 01 TRICARE PROVIDER NUMBER
10002776P 01 SENTARA/OPTIMA PROVIDER N
010223067 05 VA
institution
Provider Business Practice Location Address Details
Address
202 Agee St
City
State
Zip
23901-2617
Phone Number
434-392-6143
Fax Number
434-392-3866
person
Provider Business Mailing Address Details
Address
202 Agee St
City
State
Zip
23901-2617
Phone Number
434-392-6143
Fax Number
434-392-3866
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
0110840639 (Virginia)
Definition
Definition to come...
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