| Blacksburg Internal Medicine And Cardiology | |
|
840 Hospital Dr Blacksburg VA 24060-7023 | |
| (540) 953-0530 | |
| (540) 953-0510 |
| Full Name | Blacksburg Internal Medicine And Cardiology |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 840 Hospital Dr, Blacksburg, Virginia |
| Authorized Official Name and Position | J Edwin Wilder (PRESIDENT) |
| Authorized Official Contact | 5409530530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blacksburg Internal Medicine And Cardiology Po Box 928 Blacksburg VA 24063-0928 Ph: (540) 953-0530 | Blacksburg Internal Medicine And Cardiology 840 Hospital Dr Blacksburg VA 24060-7023 Ph: (540) 953-0530 |
| NPI Number | 1922244938 |
|---|---|
| Provider Enumeration Date | 12/22/2008 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922244938 | NPI | - | NPPES |
| 0101047913 | Other | VA | VIRGINIA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101047913 (Virginia) | Primary |
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