Individual
DR. ROY R DEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 15TH ST NW, NORTON, VA 24273-1616
(423) 630-7001
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116022871
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043522329
—
VA
01
—
1871517151
VA MEDICAID GROUP
VA
01
—
P01245138
RR MEDICARE
VA
Enumeration date
07/02/2010
Last updated
06/07/2024
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