Organization
NEUROLOGICAL CARE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL MARRUFO M.D. (PRESIDENT)
(540) 951-5090
Entity
Organization
Contact information
Practice address
825 DAVIS ST, SUITE D, BLACKSBURG, VA 24060-7013
(540) 951-5090
(540) 552-3100
Mailing address
PO BOX 126, CHRISTIANSBURG, VA 24068-0126
(540) 951-5090
(540) 552-2500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101238524
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010275091
—
VA
Enumeration date
04/15/2010
Last updated
04/14/2014
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