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Individual

DAVID EARL-GRAEF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1722 BELLEVIEW AVE. SW, ROANOKE, VA 24014-0000
(540) 981-7053
Mailing address
PO BOX 631856, BALTIMORE, MD 21263-1856

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
33826
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417955261
VA
Enumeration date
07/14/2005
Last updated
08/11/2011
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