Individual
MELANIE REBECCA WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 STEPHENSON AVE., ROANOKE, VA 24014-0000
(540) 395-3376
(540) 427-7858
Mailing address
PO BOX 8734, ROANOKE, VA 24014-0725
(540) 395-3376
(540) 427-7858
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101252185
VA
207N00000X
Dermatology Physician
2010-00630
NC
Other
Enumeration date
04/22/2008
Last updated
09/12/2012
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