Individual
DR. SANDY L FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 RIVERSIDE CIRCLE, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8212
Mailing address
3 RIVERSIDE CIRCLE, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D30420
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571915
—
MD
Enumeration date
11/18/2005
Last updated
08/11/2011
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