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Individual

ERIK D WOMELDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016
(540) 224-5170
(540) 983-8229
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101258837
VA
207R00000X
Internal Medicine Physician
01062502A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200835860
IN
Enumeration date
07/25/2006
Last updated
08/08/2022
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