Individual
DR. RICHARD RUSSELL ECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4370 STARKEY RD, SUITE 4-C, ROANOKE, VA 24018-0603
(540) 989-4100
(540) 989-3667
Mailing address
4370 STARKEY RD, SUITE 4-C, ROANOKE, VA 24018-0603
(540) 989-4100
(540) 989-3667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101-047832
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004252599
AETNA PIN #
VA
01
—
217216
ANTHEM
VA
01
—
222413
SOUTHERN HEALTH
VA
01
—
542009280-01
JOHN DEERE
VA
Enumeration date
05/04/2006
Last updated
02/27/2008
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