Gill Memorial Ent Clinic, Pc

NPI 1497957419 - Specialist - 174400000X

NPI Details
NPI 1497957419
Enumeration Date 06/01/2007
Last Updated 07/30/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK R MARK
Position OWNER
Phone (540) 344-2071
Fax (540) 982-8490
Practice Location
707 S JEFFERSON ST FL 5
ROANOKE VA, 24016-5100, US
Phone (540) 344-2071
Fax (540) 982-8490
Business Location
707 S JEFFERSON ST FL 5
ROANOKE VA, 24016-5100, US
Phone (540) 344-2071
Fax (540) 982-8490
Toxanomy
Taxonomy Code 174400000X
License State Virginia
License Number 0101031266
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According to our database, Gill Memorial Ent Clinic, Pc NPI is 1497957419, taxonomy code is 174400000X and license number is 0101031266, license state is located at Virginia. Gill Memorial Ent Clinic, Pc physically located at 707 S Jefferson St Fl 5, Roanoke VA, 24016-5100. NPI Number 1033115704 has the healthcare provider type.

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1497957419 NPI number is provided on an as is basis without warranty of any kind. 1497957419 is maintained by the National Plan & Provider Enumeration System. The contents of Gill Memorial Ent Clinic, Pc are for informational purposes only.