Individual
WILLIAM S REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 981-8025
Mailing address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
0101-226458
VA
2084P0800X
Psychiatry Physician
Primary
0101-226458
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154303618
—
VA
Enumeration date
11/18/2005
Last updated
08/12/2011
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