Individual
MS. ALICIA K DUNLEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 725-1226
(540) 857-5306
Mailing address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 725-1226
(540) 857-5306
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110-003505
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073818720
HUMANA MEDICARE
VA
01
—
P01520215
RAILROAD MEDICARE
VA
01
—
VV1549B
MEDICARE
VA
Enumeration date
01/11/2011
Last updated
07/30/2021
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