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Individual

CARL W MUSSER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2001 CRYSTAL SPRING AVE SW, SUITE 203, ROANOKE, VA 24014-2462
(540) 982-8204
(540) 224-1059
Mailing address
2001 CRYSTAL SPRING AVE SW, SUITE 203, ROANOKE, VA 24014-2462
(540) 982-8204
(540) 224-1059

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101247520
VA
207RC0000X
Cardiovascular Disease Physician
0101247520
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101247520
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
348647800
MN
Enumeration date
01/12/2006
Last updated
09/16/2015
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