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Individual

MR. ROBERT RAY VILES II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC, CES

Contact information

Practice address
101 UNIVERSITY DR, RADFORD, VA 24141
(540) 831-5164
(540) 831-6114
Mailing address
1209 4TH ST, RADFORD, VA 24141-1315
(540) 831-5164
(540) 831-6114

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001969
VA

Other

Enumeration date
05/05/2015
Last updated
05/05/2015
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