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Search › Virginia › 363A00000X

Mary Vandergrift, PA-C

NPI 1518041722 · on the registry since 2006

Practice

Address
5673 Airport Rd
Roanoke, VA 24012
Phone
(540) 523-8080
Fax
(540) 562-8867
Organisation at this address
Iyh I Llc
Mark Bogert
Intercept Youth Services, Inc
Intercept Youth Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia