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Individual

DR. ROBERT MASON MCLENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5115 BERNARD DR STE 201, ROANOKE, VA 24018-4367
(540) 345-0289
(540) 345-9569
Mailing address
PO BOX 13306, ROANOKE, VA 24032-3306
(540) 345-0289
(540) 345-9569

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101257770
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881987188
VA
05
1881987188
WV
Enumeration date
05/18/2011
Last updated
03/05/2020
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