Healthcare Provider Details

I. General information

NPI: 1841522430
Provider Name (Legal Business Name): THE CENTER FOR DIZZINESS AND BALANCE DISORDERS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2010
Last Update Date: 02/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 APPERSON DR
SALEM VA
24153-7219
US

IV. Provider business mailing address

1524 APPERSON DR
SALEM VA
24153-7219
US

V. Phone/Fax

Practice location:
  • Phone: 434-989-5281
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES D CROUSE II
Title or Position: CEO
Credential: M.D.
Phone: 434-989-5281