Individual
DR. WALTER A ROLL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
816 INDEPENDENCE BLVD, STE 1H, VIRGINIA BEACH, VA 23455-6010
(757) 464-2013
(757) 464-3046
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101051677
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005885108
—
VA
Enumeration date
02/21/2006
Last updated
04/12/2010
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