Organization
GASTROENTEROLOGY CONSULTANTS OF
Active
Organization
GASTROENTEROLOGY CONSULTANTS OF
Active
Other names
Gastroenterology Consultants of Southwest Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LYNN ALLISON (ADMINISTRATOR)
(540) 510-3324
Entity
Organization
Contact information
Practice address
202 DUKE OF GLOUCHESTER ST, ROANOKE, VA 24014
(540) 345-4900
(540) 345-4179
Mailing address
202 DUKE OF GLOUCESTER ST SW, ROANOKE, VA 24014-1372
(540) 345-4900
(540) 345-4179
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/22/2006
Last updated
08/09/2018
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