Individual
DR. RICHARD THOMAS EDWARDS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4461 STARKEY ROAD, SUITE 201, ROANOKE, VA 24018
(540) 345-8896
(540) 343-0722
Mailing address
4461 STARKEY ROAD, SUITE 201, ROANOKE, VA 24018
(540) 345-4946
(540) 982-7164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101018580
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110127678
RAILROAD MEDICARE
VA
05
—
1659311017
—
VA
Enumeration date
06/07/2006
Last updated
04/05/2011
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