Organization
WYTHE SURGICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO J LEE M.D. (PRESIDENT)
(276) 228-5831
Entity
Organization
Contact information
Practice address
105 W PINE ST, WYTHEVILLE, VA 24382-1937
(276) 228-5831
(276) 228-3451
Mailing address
105 W PINE ST, WYTHEVILLE, VA 24382-1937
(276) 228-5831
(276) 228-3451
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101021378
VA
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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