Individual
MARINA KOLESSOVA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1958
Mailing address
3154 BERRY LN, APT 73, ROANOKE, VA 24018-6314
(540) 772-3298
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101228198
VA
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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