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Individual

DR. WILLIAM P SMALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3369 COLONIAL AVE SW, ROANOKE, VA 24018-3739
(540) 989-4929
Mailing address
3611 PINEVALE RD, ROANOKE, VA 24018-3123

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101-047360
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010126126
VA
05
1023090412
VA
Enumeration date
11/19/2005
Last updated
05/20/2008
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