Individual
SUSAN R LEIVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7553
Mailing address
PO BOX 12668, ROANOKE, VA 24027-2668
(540) 981-7553
(540) 342-2789
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101049416
VA
Other
Enumeration date
07/18/2006
Last updated
11/08/2007
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