FOUNTAIN SQUARE INTERNAL MEDICINE

ROANOKE, VA
NPI1215090683
Entity TypeOrganization
Authorized ContactMICHAEL ALAN MALPASS
President
540-344-5550
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2006-12-18
Last Update Date2010-01-28
Business Address
FOUNTAIN SQUARE INTERNAL MEDICINE
1315 2ND ST SW STE 101
ROANOKE, VA 24016-4935
Phone number: 540-344-5550
Mailing Address
FOUNTAIN SQUARE INTERNAL MEDICINE
1315 2ND ST SW STE 101
ROANOKE, VA 24016-4935
Phone number: 540-344-5550
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