Organization
MARTINSVILLE OTOLARYNGOLOGY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W SELMAN M.D (OWNER)
(276) 638-3743
Entity
Organization
Contact information
Practice address
435 COMMONWEALTH BLVD E, MARTINSVILLE, VA 24112-2014
(276) 638-3743
(276) 638-3193
Mailing address
435 COMMONWEALTH BLVD E, MARTINSVILLE, VA 24112-2014
(276) 638-3743
(276) 638-3193
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101029048
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006588930
—
VA
Enumeration date
09/13/2007
Last updated
09/13/2007
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