Organization
MARTINSVILLE FAMILY MEDICINE
Active
Other names
FAVERO FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PATRICK FAVERO JR. DO (OWNER/PRESIDENT)
(276) 638-7205
Entity
Organization
Contact information
Practice address
2696 GREENSBORO RD, MARTINSVILLE, VA 24112-8106
(276) 638-7205
(276) 638-3389
Mailing address
2696 GREENSBORO RD, MARTINSVILLE, VA 24112-8106
(276) 638-7205
(276) 638-3389
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173919
VA
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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