Organization
HEAD ADN NECK MEDICINE AND SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J DICHTEL M.D. (SECRETARY)
(540) 343-4423
Entity
Organization
Contact information
Practice address
102 HIGHLAND AVE SE, SUITE 104, ROANOKE, VA 24013-2256
(540) 343-4423
(540) 343-0495
Mailing address
102 HIGHLAND AVE SE, SUITE 104, ROANOKE, VA 24013-2256
(540) 343-4423
(540) 343-0495
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101040423
VA
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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