Doctor Name: | DR. RICHARD RUSSELL ECKERT |
NPI Number: | 1982652988 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101-047832 |
Business Practice Address: | 4370 Starkey Rd Suite 4-c Roanoke, VA - 240180603 |
Business Phone Number: | 5409894100 |
Business Fax Number: | 5409893667 |
Mailing Address: | 4370 Starkey Rd, Suite 4-c ROANOKE |
State: | VA |
Postal Code: | 240180603 |
Phone Number: | 5409894100 |
Fax Number: | 5409893667 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 02/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0101-047832 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |