Individual
DR. RICHARD ALLEN VESTAL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-3027
(336) 716-2011
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017-01959
NC
207R00000X
Internal Medicine Physician
MD2013-0317
NM
207R00000X
Internal Medicine Physician
R0519
TX
Other
Enumeration date
04/14/2010
Last updated
11/15/2017
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