| David M Avance, PA-C | |
|
202 Agee St, Farmville, VA 23901-2617 | |
| (434) 392-6143 | |
| (434) 392-3866 |
| Full Name | David M Avance |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 202 Agee St, Farmville, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952387748 | NPI | - | NPPES |
| 203639329 | Other | TRICARE PROVIDER NUMBER | |
| 10002776P | Other | SENTARA/OPTIMA PROVIDER N | |
| 010223067 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 0110840639 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David M Avance, PA-C 202 Agee St, Farmville, VA 23901-2617 Ph: (434) 392-6143 | David M Avance, PA-C 202 Agee St, Farmville, VA 23901-2617 Ph: (434) 392-6143 |
Sabrina Leicht, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 800 Oak St, Farmville, VA 23901 Phone: 434-392-8811 | |
Stephen Stone, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1706 East 3rd Street, Farmville, VA 23901 Phone: 434-315-2850 | |
Mrs. Michelle Louise Giese, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 Longwood Ave, Farmville, VA 23901 Phone: 434-392-6101 Fax: 434-392-1003 | |
Mrs. Gabriela Lammoglia Graybill, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 935 S Main St, Farmville, VA 23901 Phone: 434-315-5340 |