Individual
CHRISTIAN BRODY VAN DOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 224-5170
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020016721
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0102208220
VA
208100000X
Physical Medicine & Rehabilitation Physician
2021019753
MO
Other
Enumeration date
06/16/2020
Last updated
06/21/2024
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