Ripon Wilson La Roche, MD Valid NPI

Individual provider · Ophthalmology Physician · Farmville, VA

NPI

1700810918

Type

Individual (Type 1)

Primary specialty

Ophthalmology Physician (Ophthalmology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207W00000X

License number

0101033222 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-11

Last updated

2010-11-12