Individual
TINA M. DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5353
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102202631
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
0102202631
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
OS022293
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386935252
—
VA
Enumeration date
06/29/2007
Last updated
10/04/2024
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