| Doctor Name: | WILLIAM S REA |
| NPI Number: | 1154303618 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101-226458 |
| Business Practice Address: | 2017 Jefferson St Sw Roanoke, VA - 240142419 |
| Business Phone Number: | 5409818025 |
| Business Fax Number: | |
| Mailing Address: | 2017 Jefferson St Sw, ROANOKE |
| State: | VA |
| Postal Code: | 240142419 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2005 |
| NPI Last Update Date: | 08/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | 0101-226458 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |