Individual
DR. MARC A. PLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 725-1226
(540) 857-5306
Mailing address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 725-1226
(540) 857-5306
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0103000356
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100256000
MEDICAID OF WEST VIRGINIA
VA
01
—
1184695249
AETNA
VA
05
—
1184695249
—
VA
01
—
371194700
BLACK LUNG
VA
01
—
540506332108
TRICARE/CHAMPUS
VA
01
—
P00825874
RAILROAD MEDICARE
VA
Enumeration date
01/27/2006
Last updated
03/17/2014
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