Individual
MR. JOHN HAMILTON WALROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15 CLEVELAND AVENUE, SUITE 4, MARTINSVILLE, VA 24112
(276) 632-1265
(276) 632-4753
Mailing address
15 CLEVELAND AVENUE, SUITE 4, MARTINSVILLE, VA 24112
(276) 632-1265
(276) 632-4753
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
VA5168
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173458
ANTHEM
VA
Enumeration date
03/22/2007
Last updated
07/08/2007
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