Organization
ROANOKE EAR NOSE & THROAT CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI WALTERS (MANAGER)
(540) 345-3556
Entity
Organization
Contact information
Practice address
201 MCCLANAHAN ST SW, ROANOKE, VA 24014-1709
(540) 345-3556
(540) 342-2193
Mailing address
201 MCCLANAHAN ST SW, ROANOKE, VA 24014-1709
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101053012
VA
Other
Enumeration date
07/08/2006
Last updated
08/22/2020
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