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WILLIAM S REA MD

Physicians Psychiatry & Neurology Addiction Medicine

Provider NPI: 1154303618

Provider Information:
 WILLIAM S REA MD
Gender: M
Not Sole Proprietor

Practice Location:
2017 JEFFERSON ST SW  ROANOKE, VA 24014-2419 US
Tel: 540-981-8025  Fax: --

Business Mailing Address:
2017 JEFFERSON ST SW  ROANOKE, VA 24014-2419 US
Tel: --  Fax: --

NPI Information:
NPI: 1154303618
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2084A0401XPhysicians
Psychiatry & Neurology
Addiction Medicine
VA0101-226458
Y2084P0800XPhysicians
Psychiatry & Neurology
VA0101-226458

Other Provider Identifiers:

IssuerNumberStateType
1154303618VA05



American Medical Association 2012 taxonomy code information

Code: 2084P0800X

Type:

Classification:



Definition:



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