Individual
DR. PRESTON ADAM WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 KNOTBREAK ROAD, SALEM, VA 24153-7304
(540) 444-4020
(540) 444-4021
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101046000
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006401104
—
VA
01
—
127779
SOUTHERN HEALTH
VA
01
—
200040420
RAILROAD MEDICARE
VA
01
—
286129
MAMSI
VA
01
—
3933260001
ADMINISTAR FEDERAL
VA
01
—
4409453
AETNA
VA
01
—
452548
ANTHEM
VA
01
—
542006922
UNITED HEALTHCARE
VA
01
—
700201861
CIGNA
VA
Enumeration date
06/12/2006
Last updated
01/30/2009
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