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Individual

DR. JOHN ERIC VANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 853-0900
(540) 853-0518
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101252210
VA
2084P0800X
Psychiatry Physician
8147
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7706655Y0NH01
BHN
NH
05
99003227
NH
Enumeration date
11/21/2006
Last updated
08/11/2022
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