Individual
ROGER F GILDERSLEEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2332
(540) 932-4075
(540) 932-5199
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-4629
(540) 932-5875
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101055287
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005858488
—
VA
01
—
21288
OPTIMA
VA
01
—
2202346
FIRST HEALTH
VA
01
—
225193
SOUTHERN HEALTH
VA
01
—
452942
ANTHEM
VA
01
—
5858488
VA PREMIER
VA
01
—
700011613
CIGNA
VA
Enumeration date
02/07/2006
Last updated
03/16/2010
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