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Individual

RONALD OVERSTREET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
37 LAYMANTOWN RD, TROUTVILLE, VA 24175-6635
(540) 977-1436
Mailing address
1446 LAYMANTOWN RD, TROUTVILLE, VA 24175-6561

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-028992
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005623537
VA
05
5635489
VA
05
5637856
VA
01
80274
SOUTHERN HEALTH
Enumeration date
02/10/2006
Last updated
08/11/2011
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