Organization
SOUTHWESTERN VIRGINIA EARS NOSE AND THROAT ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON J PRUSSIN MD (PRESIDENT)
(540) 381-0344
Entity
Organization
Contact information
Practice address
2955 MARKET ST SUITE C-4, CHRISTIANSBURG, VA 24073-6575
(540) 381-0344
(540) 381-1462
Mailing address
106 WADSWORTH ST, RADFORD, VA 24141-1439
(540) 639-9023
(540) 639-5463
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101051964
VA
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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