Individual
STEPHEN GORDON REMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 RIVERSIDE CIRCLE, DEPT OF SURGERY, ROANOKE, VA 24016
(540) 224-5170
(540) 983-8212
Mailing address
3 RIVERSIDE CIRCLE, ROANOKE, VA 24016
(540) 224-5170
(540) 983-8212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301076893
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010174759
—
VA
05
—
010174767
—
VA
05
—
424506610
—
MI
01
—
4301076893
CONTROLLED SUBSTANCE
MI
Enumeration date
06/01/2005
Last updated
04/06/2011
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