Individual
MRS. LAURA BOWMAN HUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 981-8025
(540) 853-0511
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102207913
VA
2084P0800X
Psychiatry Physician
0116033137
VA
363A00000X
Physician Assistant
PA22845
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA22845
LICENSE
CA
Enumeration date
03/13/2013
Last updated
06/01/2023
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