Individual
DR. GLENN RICHARD QUARLES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2331 FRANKLIN RD SW, ROANOKE, VA 24014
(540) 510-6200
(540) 857-5306
Mailing address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 510-6200
(540) 857-5306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102205319
VA
208100000X
Physical Medicine & Rehabilitation Physician
0102205319
VA
Other
Enumeration date
08/19/2014
Last updated
09/22/2022
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