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Individual

DR. PHILIP M LE NOACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 OAK STREET, FARMVILLE, VA 23901-1199
(434) 315-2850
(434) 392-8191
Mailing address
PO BOX 927, 5 E ALVON ROAD, SUITE 7, WHITE SULPHUR SPRINGS, WV 24986-2373
(304) 536-5030
(304) 536-5031

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101235244
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010018242
VA
01
10039384
OPTIMA/SENTARA
VA
01
3115917
UHC/MAMSI
VA
01
4265678
CIGNA
VA
Enumeration date
02/22/2006
Last updated
03/13/2020
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