Virginia Skin & Vein, LLC

NPI #1023171105 in Roanoke, Virginia

Provider Information

NPI Number: 1023171105
Entity Type: Organization
Organization Name: Virginia Skin & Vein, LLC
Primary Specialty: Dermatology
Enumeration Date: Dec 19, 2006
Last Updated: Feb 2, 2011

Practice Location

Address: 3825 ELECTRIC RD STE C
Address 2: 419 OFFICE CENTER
City: Roanoke
State: Virginia
ZIP Code: 24018-4561
Phone: (540) 777-1711

Authorized Official

Name: MARTIN T. SMITH, DO
Title: SOLE MEMBER
Phone: (540) 777-1711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Phlebology	202K00000X
Dermatology	207N00000X	Primary

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