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Organization

SOUTHWEST MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID A CUMMINGS DO (PHYSICIAN-PRESIDENT)
(540) 989-5594
Entity
Organization

Contact information

Practice address
4079 ELECTRIC RD, ROANOKE, VA 24018-8442
(540) 989-5594
(540) 776-8020
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(540) 989-9394
(540) 344-7154

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
02/22/2007
Last updated
07/13/2007
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