Individual
DR. JONATHAN DREW STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2145 MOUNT PLEASANT BLVD SE, ROANOKE, VA 24014-3632
(540) 427-9200
(540) 427-3237
Mailing address
2145 MOUNT PLEASANT BLVD SE, ROANOKE, VA 24014-3632
(540) 427-9200
(540) 427-3237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101263052
VA
207Q00000X
Family Medicine Physician
MD427452
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018908690001
—
PA
01
—
587692
HEALTH AMERICA
PA
Enumeration date
06/29/2006
Last updated
12/11/2020
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