Individual
DR. STEPHEN AUSBAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CRMH 1 SOUTH, ROANOKE, VA 24033-3367
(540) 853-0824
Mailing address
CRMH 1 SOUTH, PO BOX 1367, ROANOKE, VA 24033-3367
(540) 853-0824
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
NC 96-01187
NC
207P00000X
Emergency Medicine Physician
Primary
0101240947
VA
207P00000X
Emergency Medicine Physician
29102
SC
207P00000X
Emergency Medicine Physician
NC 96-01187
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306855002
—
VA
Enumeration date
08/05/2006
Last updated
08/11/2011
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