Organization
ROANOKE ORTHOPEDIC APPLIANCE CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY MOTLEY O BRYAN SURGICAL APPLIANCE T (VP SEC)
(540) 427-3088
Entity
Organization
Contact information
Practice address
1105 PIEDMONT ST SE, ROANOKE, VA 24014
(540) 427-3088
(540) 427-5942
Mailing address
1105 PIEDMONT ST SE, ROANOKE, VA 24014
(540) 427-3088
(540) 427-5942
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0925
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260295
ANTHEM BC & BS
VA
Enumeration date
01/31/2007
Last updated
08/22/2020
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