Individual
DR. DANE C MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 FRANKLIN RD SW, ROANOKE, VA 24016-5206
(540) 343-7331
(540) 343-7349
Mailing address
1505 FRANKLIN RD SW, ROANOKE, VA 24016-5206
(540) 343-7331
(540) 343-7349
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101038172
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7604068
—
VA
Enumeration date
03/09/2006
Last updated
09/21/2007
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