Individual
DR. MANUEL MARRUFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 DAVIS ST, SUITE D, BLACKSBURG, VA 24060-7013
(540) 951-5090
(540) 951-5094
Mailing address
PO BOX 126, CHRISTIANSBURG, VA 24068-2147
(540) 951-5090
(540) 951-5094
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101238524
VA
2084N0400X
Neurology Physician
053995
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010275091
—
VA
01
—
1205863644
NPI
VA
05
—
5905670
—
NC
01
—
P00319701
RAILROAD MEDICARE
VA
Enumeration date
06/28/2006
Last updated
12/10/2016
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