Individual
PAUL REID GOHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 S MAIN ST, BLACKSBURG, VA 24060-7017
(540) 953-5130
Mailing address
PO BOX 12387, ROANOKE, VA 24025-2387
(866) 788-9852
(540) 766-6435
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101258161
VA
390200000X
Student in an Organized Health Care Education/Training Program
156792
NC
Other
Enumeration date
06/19/2009
Last updated
08/25/2016
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