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Individual

JOHN FREEMAN GAYLORD III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3406
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3406

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101044349
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1831141597
NPI GROUP
05
5831580
VA
Enumeration date
07/13/2005
Last updated
05/21/2014
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