Individual
DR. STEPHEN COUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5304 INDIAN GRAVE RD, ROANOKE, VA 24018-9100
(540) 283-2570
(540) 283-2575
Mailing address
5304 INDIAN GRAVE RD, ROANOKE, VA 24018-9100
(540) 283-2570
(540) 283-2575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101046752
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006095232
—
VA
05
—
1457337974
—
VA
01
—
P00276857
MEDICARE RAILROAD
VA
Enumeration date
12/16/2005
Last updated
02/17/2012
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