Fountain Square Internal Medicine
Fountain Square Internal Medicine is an Internal Medicine Physician in Roanoke, Virginia. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1315 2nd St SW Ste 101Roanoke, VA 24016-4935
Phone: (540) 344-5550
Fax: (540) 344-5205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1215090683 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Malpass — President · (540) 344-5550 |
| NPI enumerated | December 18, 2006 |
| Last updated in NPPES | January 28, 2010 |
| Mailing address | 1315 2nd St Sw, Ste 101, Roanoke, VA 24016-4935 |
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