Individual
MR. RICHARD W DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-8574
(540) 983-1133
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-8574
(540) 983-1133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0126000825
VA
363AM0700X
Medical Physician Assistant
Primary
0110002639
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126000825
LICENSE
VA
Enumeration date
09/20/2007
Last updated
03/14/2022
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