Individual
SANDRA R TOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
Mailing address
4504 STARKEY RD, SUITE 200, ROANOKE, VA 24014-4040
(540) 776-8337
(540) 776-6856
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101051873
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010267277
—
VA
Enumeration date
05/17/2006
Last updated
09/02/2011
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