Provider Demographics
NPI:1124050745
Name:DANACEAU, STEVEN MARC (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MARC
Last Name:DANACEAU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1115 BOULDERS PARKWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:2501 N GLEBE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-3558
Practice Address - Country:US
Practice Address - Phone:703-469-3971
Practice Address - Fax:703-524-8281
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2021-03-19
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Provider Licenses
StateLicense IDTaxonomies
VA0101840407207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG01192Medicare UPIN
VA00B801A92Medicare ID - Type Unspecified