Individual
DR. RADOSLAV S.B. NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1990 HOLTON AVE E, BIG STONE GAP, VA 24219-3350
(276) 523-7938
(276) 523-7028
Mailing address
PO BOX CC, BIG STONE GAP, VA 24219-0690
(276) 523-7938
(276) 523-7028
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101036556
VA
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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