Individual
RANDALL RHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S POLLARD ST, VINTON, VA 24179-2502
(540) 983-6700
Mailing address
1627 CENTER HILL DR SW, ROANOKE, VA 24015-3629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-034637
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005623944
—
VA
05
—
005638127
—
VA
05
—
5637864
—
VA
Enumeration date
02/10/2006
Last updated
08/12/2011
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