person
Dr. David P Minichan JR., MD
Specialist in Roanoke, Virginia
NPI 1144212705

David P Minichan JR. is a Specialist based in Roanoke, VA. David P Minichan JR. practices in Roanoke, VA and has the professional credentials of MD. The NPI Number for David P Minichan JR. is 1144212705 and holds a License No. 0101012581 (Virginia).

The current practice location address for David P Minichan JR. is 1234 Franklin Rd Sw, Roanoke, VA and can be reached out via phone at 540-345-1561 and via fax at 540-345-2112.

Location: 1234 Franklin Rd Sw, Roanoke, VA, 24016-4606
person
Provider Profile Details
NPI Number
1144212705
Provider Name
David P Minichan JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1234 Franklin Rd Sw, Roanoke, VA, 24016-4606
Phone Number
540-345-1561
Fax Number
540-345-2112
Provider Enumeration Date
08/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007311150 05 VA
institution
Provider Business Practice Location Address Details
Address
1234 Franklin Rd Sw
City
State
Zip
24016-4606
Phone Number
540-345-1561
Fax Number
540-345-2112
person
Provider Business Mailing Address Details
Address
1234 Franklin Rd Sw
City
State
Zip
24016-4606
Phone Number
540-345-1561
Fax Number
540-345-2112
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
0101012581 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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