Individual
DR. MARIE LESLIE MALINCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3239 ELECTRIC RD, SUITE A, ROANOKE, VA 24018-6444
(540) 904-7912
(540) 904-7926
Mailing address
3239 ELECTRIC RD, SUITE A, ROANOKE, VA 24018-6444
(540) 904-7912
(540) 904-7926
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-055326
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5612187
—
VA
Enumeration date
12/01/2005
Last updated
12/02/2010
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