Individual
NATASHA VIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4035 ELECTRIC RD STE A, ROANOKE, VA 24018-8449
(540) 772-8670
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007710
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/17/2020
Last updated
06/13/2023
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