MEDICARE: CHRISTY ARTHUR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101-232073	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003888223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY ARTHUR MD

Provider Business Mailing Address
First Line	:	1420 SHERWOOD AVE SW
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24015-3034
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3707 BRAMBLETON AVE
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24018-3658
Country	:	US
Telephone Number	:	540-725-7800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	08/11/2011

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