Organization
ROANOKE ADULT MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C WARD MD (PRESIDENT)
(540) 309-5769
Entity
Organization
Contact information
Practice address
1708 CLAY ST SE, ROANOKE, VA 24013-2105
(540) 309-7569
Mailing address
1708 CLAY ST SE, ROANOKE, VA 24013-2105
(540) 309-7569
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
0101024791
VA
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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