Organization
LEWIS-GALE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTIS W BLACKWOOD (PRACTICE ADMINISTRATOR)
(540) 772-3672
Entity
Organization
Contact information
Practice address
614 E MAIN ST, RADFORD, VA 24141-1786
(540) 639-2723
(540) 639-6805
Mailing address
614 E MAIN ST, RADFORD, VA 24141-1786
(540) 639-2723
(540) 639-6805
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
0101048225
VA
207W00000X
Ophthalmology Physician
Primary
0101044009
VA
Other
Enumeration date
09/08/2006
Last updated
09/11/2025
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