Dr. David H. Mortlock
Family Medicine in Roanoke, VA. Individual provider (NPI-1).
NPI number1861691552
StatusActive
Last updated in NPPESSep 14, 2010
Details
- NPI
- 1861691552
- Entity type
- Individual (NPI-1)
- Name
- Dr. David H. Mortlock
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2007
- Last updated
- Sep 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 116019067 | VA | Yes |
Practice location
4910 Valley View Blvd NwRoanoke, VA 24012-2040
Phone 540-265-1607 · Fax 540-366-7353
Mailing address
4910 Valley View Blvd NwRoanoke, VA 24012-2040
Phone 540-265-1607 · Fax 540-366-7353
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