Walter B. Blair,m.d., Inc | |
5115 Bernard Dr Suite 101 Roanoke VA 24018-4357 | |
(540) 774-5861 | |
(540) 776-9969 |
Full Name | Walter B. Blair,m.d., Inc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 5115 Bernard Dr, Roanoke, Virginia |
Authorized Official Name and Position | Walter B. Blair (SOLE OWNER) |
Authorized Official Contact | 5407745861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Walter B. Blair,m.d., Inc 5115 Bernard Dr Suite 101 Roanoke VA 24018-4357 Ph: (540) 774-5861 | Walter B. Blair,m.d., Inc 5115 Bernard Dr Suite 101 Roanoke VA 24018-4357 Ph: (540) 774-5861 |
NPI Number | 1528330800 |
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Provider Enumeration Date | 02/02/2012 |
Last Update Date | 02/02/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528330800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0101022440 (Virginia) | Primary |
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