Basic Information
Provider Information
NPI: 1801866850
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RICE
FirstName: DARIAN
MiddleName: CLARK
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 9007
Address2:  
City: CHARLOTTESVILLE
State: VA
PostalCode: 229069007
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 500 J CLYDE MORRIS BLVD
Address2:  
City: NEWPORT NEWS
State: VA
PostalCode: 236011929
CountryCode: US
TelephoneNumber: 7575942000
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/24/2006
LastUpdateDate: 09/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X0101235810VAN Allopathic & Osteopathic PhysiciansGeneral Practice 
207L00000X0101235810VAY Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XTRN11585FLN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LC0200X0101235810VAN Allopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine

No ID Information.


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