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LOUIS ROCCO VALENTE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
3333 BROOKVIEW HILLS BLVD, STE 207, WINSTON-SALEM, NC 27103-5661
(336) 765-5250
(336) 659-0953
Mailing address
1701 WESTCHESTER DR, STE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2001

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103044
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103044
MEDICAL LICENSE
NC
01
P00391424
RR MEDICARE
NC
Enumeration date
06/10/2005
Last updated
07/06/2009
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