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Organization
CARDIOTHORACIC SURGEONS OF ROANOKE VALLEY LLC
Active
Organization
CARDIOTHORACIC SURGEONS OF ROANOKE VALLEY LLC
Active
Other names
Cardiothoracic Surgeons of Roanoke Valley
Organization subpart
No
Provider details
NPI number
Authorized official
BUDDY BLACKWOOD (VP)
(540) 772-3527
Entity
Organization
Contact information
Practice address
1802 BRAEBURN DR, SUITE 1310, SALEM, VA 24153-7357
(540) 776-2029
(540) 776-2017
Mailing address
1802 BRAEBURN DR, SUITE 1310, SALEM, VA 24153-7357
(540) 776-2029
(540) 776-2017
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346343563
—
VA
Enumeration date
09/06/2006
Last updated
02/07/2008
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