Individual
ANTHONY G PATRIARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 E MAIN ST, FLOYD, VA 24091-4183
(540) 745-2031
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101044698
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005862736
—
VA
01
—
148137
SOUTHERN HEALTH
VA
01
—
231695
ANTHEM
VA
01
—
44482
OPTIMA
VA
01
—
5862736
VA PREMIER
VA
01
—
700028144
CIGNA
VA
Enumeration date
02/16/2006
Last updated
12/21/2023
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