Individual
ANN ELIZABETH S AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
Mailing address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102203110
VA
207R00000X
Internal Medicine Physician
140324
NC
207R00000X
Internal Medicine Physician
48527
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020580
KAISER COMMERCIAL NUMBER
CO
05
—
27574555
—
CO
Enumeration date
07/10/2007
Last updated
09/07/2021
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