Individual
GRACE ANN DZIDO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-8574
Mailing address
5505 CRESCENT BLVD, ROANOKE, VA 24014-5516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101236768
VA
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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