Gill Memorial Ent Clinic, PC

NPI #1497957419 in Roanoke, Virginia

Provider Information

NPI Number: 1497957419
Entity Type: Organization
Organization Name: Gill Memorial Ent Clinic, PC
Primary Specialty: Specialist
Enumeration Date: Jun 1, 2007
Last Updated: Jul 30, 2007

Practice Location

Address: 707 S JEFFERSON ST FL 5
City: Roanoke
State: Virginia
ZIP Code: 24016-5100
Phone: (540) 344-2071

Authorized Official

Name: DR. MARK R HANABURY JR., M.D.
Title: OWNER
Phone: (540) 344-2071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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