Fountain Square Internal Medicine - Primary Care in Roanoke, VA

Fountain Square Internal Medicine is a primary clinic (Internal Medicine) in Roanoke, Virginia. The current practice location for Fountain Square Internal Medicine is 1315 2nd St Sw, Ste 101, Roanoke, Virginia. For appointments, you can reach them via phone at (540) 344-5550. The mailing address for Fountain Square Internal Medicine is 1315 2nd St Sw, Ste 101, Roanoke, Virginia and phone number is (540) 344-5550.

Fountain Square Internal Medicine is licensed to practice in * (Not Available) (license number ) and its NPI number is 1215090683. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (540) 344-5550.

Contact Information

Fountain Square Internal Medicine
1315 2nd St Sw
Ste 101
Roanoke
VA 24016-4935
(540) 344-5550
(540) 344-5205

Primary Care Clinic Profile

Full NameFountain Square Internal Medicine
SpecialityInternal Medicine
Location1315 2nd St Sw, Roanoke, Virginia
Authorized Official Name and PositionMichael Alan Malpass (PRESIDENT)
Authorized Official Contact5403445550
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fountain Square Internal Medicine
1315 2nd St Sw
Ste 101
Roanoke
VA 24016-4935

Ph: (540) 344-5550
Fountain Square Internal Medicine
1315 2nd St Sw
Ste 101
Roanoke
VA 24016-4935

Ph: (540) 344-5550

NPI Details:

NPI Number1215090683
Provider Enumeration Date12/18/2006
Last Update Date01/28/2010

Medical Identifiers

Medical identifiers for Fountain Square Internal Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215090683NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

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