Individual
KEITH PETER MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1420 N MAIN ST, BLACKSBURG, VA 24060-2522
(540) 951-8380
Mailing address
213 JEFFERSON ST STE 1006, BLACKSBURG, VA 24060-7512
(540) 224-5715
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101246884
VA
207Q00000X
Family Medicine Physician
116020253
VA
Other
Enumeration date
06/11/2008
Last updated
08/11/2022
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