Individual
MR. GARY ERWIN ROEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC CHIROPRACTOR
Contact information
Practice address
631 GREENVILLE AVE, STAUNTON, VA 24401
(540) 886-0200
(540) 886-9120
Mailing address
631 GREENVILLE AVE, STAUNTON, VA 24401
(540) 886-0200
(540) 886-9120
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556208
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
389865
ANTHEM BCBS
VA
Enumeration date
10/20/2006
Last updated
07/08/2007
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