Individual
DR. ANTHONY WILLIAM BAFFOE-BONNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW, ROANOKE, VA 24014-2462
(540) 981-7715
Mailing address
2001 CRYSTAL SPRING AVE SW, ROANOKE, VA 24014-2462
(540) 981-7715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11599
NV
207RI0200X
Infectious Disease Physician
Primary
0101252104
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509428
—
NV
Enumeration date
06/20/2006
Last updated
06/28/2021
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