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Individual

TANYA L SIGMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
3707 BRAMBLETON AVE, SUITE #2, ROANOKE, VA 24018-3658
(540) 725-7800
(540) 989-6752
Mailing address
379 WALNUT AVE SW, APT #3, ROANOKE, VA 24016-4620
(540) 915-6576

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002416
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010349486
VA
Enumeration date
11/01/2006
Last updated
12/06/2008
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