Organization
DERMATOLOGY PRACTICE OF ROANOKE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE WALTER MD (OWNER)
(919) 323-5035
Entity
Organization
Contact information
Practice address
2000 STEPHENSON AVE, ROANOKE, VA 24014-1664
(540) 427-7858
(540) 427-7878
Mailing address
PO BOX 8734, ROANOKE, VA 24014-0725
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101252185
VA
Other
Enumeration date
07/11/2012
Last updated
07/20/2012
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