Blue Ridge Physical Medicine in Roanoke - Pain
Blue Ridge Physical Medicine - NPI 1710173679
Blue Ridge Physical Medicine is a Pain in Roanoke, Virginia. Blue Ridge Physical Medicine practices all healthcare services and medical treatments related to Pain. The NPI Number for Blue Ridge Physical Medicine is 1710173679. The last update date is 2007-09-24.
Blue Ridge Physical Medicine's current location address is 4582 Franklin Rd Sw, Roanoke, Virginia. You can contact this provider via phone number 5407728052 and fax number 5407724508. The mailing address for Blue Ridge Physical Medicine is 4582 Franklin Rd Sw, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blue Ridge Physical Medicine |
|---|---|
| Address | 4582 Franklin Rd Sw, Roanoke, Virginia |
| Phone Number | 5407728052 |
| Fax Number | 5407724508 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Tanner W Rebecca |
| Telephone Number | 5407728052 |
NPI Number Detail
| NPI Number | 1710173679 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2007-09-24 |
Provider Mailing Address Detail
| Address | 4582 Franklin Rd Sw |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240145144 |
| Phone Number | 5407728052 |
| Fax Number | 5407724508 |
Provider's Primary Taxonomy Detail
| Speciality | Pain |
|---|---|
| Taxonomy | 261Qp3300X |
|
Definition: Evaluates and manages acute and chronic pain through interventional, behavioral and alternative approaches. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6801510 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Blue Ridge Physical Medicine by the Centers for Medicare & Medicaid Services?
The Blue Ridge Physical Medicine has been issued the NPI (National Provider Identifier) 1710173679, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Blue Ridge Physical Medicine is geographically located?
The Blue Ridge Physical Medicine is physically situated at the following location: 4582 Franklin Rd Sw, Roanoke, VA, 240145144.
What is the Blue Ridge Physical Medicine's specialty and taxonomy code?
The Blue Ridge Physical Medicine's specialty is Pain, and the corresponding taxonomy code is 261Qp3300X.
When was the Blue Ridge Physical Medicine's 1710173679 issued?
The Blue Ridge Physical Medicine's 1710173679 was issued on 2007-09-24.
As of what date were the Blue Ridge Physical Medicine's details last updated?
The information pertaining to the Blue Ridge Physical Medicine, including its address, specialty, and other details, was most recently updated on 2007-09-24.
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