GWYNN POLIDORO

Dr GWYNN POLIDORO is a female medical professional, specializing in Clinical Social Worker. She graduated in 1972.

Contact

600 E MAIN
SUITE C
RADFORD
VA
241411786

Tel: 5407310838

GWYNN POLIDORO Information

Npi 1528027075
Pac Id 2961575063
Professional Enrollment Id I20080723000276
Last Name POLIDORO
First Name GWYNN
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1972
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 600 E MAIN
Line 2 Street Address SUITE C
Marker Of Address Line 2 Suppression
City RADFORD
State VA
Zip Code 241411786
Phone Number 5407310838
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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