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Individual

HOWARD B GRAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3369 COLONIAL AVE SW, ROANOKE, VA 24018-3739
(540) 772-0555
Mailing address
340 HOUSTON MINES RD, TROUTVILLE, VA 24175-5860

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101-240991
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010383838
VA
05
1306993704
VA
Enumeration date
01/05/2007
Last updated
08/11/2011
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