Individual
RICHARD CORDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(540) 769-0976
(540) 857-5391
Mailing address
3027 CIRCLE DR SW, ROANOKE, VA 24018-2107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101-233252
VA
2080P0206X
Pediatric Gastroenterology Physician
Primary
0101-233252
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010383722
—
VA
05
—
1356313241
—
VA
05
—
6702708
—
VA
Enumeration date
02/03/2006
Last updated
11/02/2021
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