| Dr Paul G Vaccaro Jr, MD | |
|
200 8th St, Radford, VA 24141-2426 | |
| (540) 639-5188 | |
| (540) 639-9215 |
| Full Name | Dr Paul G Vaccaro Jr |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 200 8th St, Radford, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144284365 | NPI | - | NPPES |
| 006713432 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0101229097 (Virginia) | Primary |
| Entity Name | Mountain Comprehensive Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417900242 PECOS PAC ID: 7618875873 Enrollment ID: O20031224000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul G Vaccaro Jr, MD 200 8th St, Radford, VA 24141-2426 Ph: (540) 639-5188 | Dr Paul G Vaccaro Jr, MD 200 8th St, Radford, VA 24141-2426 Ph: (540) 639-5188 |
Dr. Brigitte K Rotche, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 8th St, Radford, VA 24141 Phone: 540-639-5188 Fax: 540-639-9215 | |
Aaron Brownfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 202 8th St, Radford, VA 24141 Phone: 540-639-5188 Fax: 540-639-9215 | |
Breann Lyn Bailey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 202 8th St, Radford, VA 24141 Phone: 540-639-5188 Fax: 540-639-9215 | |
Dr. Paul G Mcelroy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 8th St, Radford, VA 24141 Phone: 540-639-5188 Fax: 540-639-9215 | |
Dr. Timothy S Walker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 8th St, Radford, VA 24141 Phone: 540-639-5188 Fax: 540-639-9215 | |
Dr. Zairha Gonzalez Snider, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 8th St, Radford, VA 24141 Phone: 540-639-5188 Fax: 540-639-9215 |