Provider Demographics
NPI:1225016470
Name:KRIEGER, DAVID DEAN (DO, MPH, MBA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:DEAN
Last Name:KRIEGER
Suffix:
Gender:M
Credentials:DO, MPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-0388
Mailing Address - Country:US
Mailing Address - Phone:540-932-4629
Mailing Address - Fax:540-932-4616
Practice Address - Street 1:57 N MEDICAL PARK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2353
Practice Address - Country:US
Practice Address - Phone:540-221-7520
Practice Address - Fax:540-221-7521
Is Sole Proprietor?:No
Enumeration Date:2006-01-07
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO280402083P0500X
VA01022032192083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAGC1100Medicare PIN