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Individual

PATRICK S ROONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
733 VOLVO PKWY, SUITE 300, CHESAPEAKE, VA 23320-1609
(757) 321-3383
(757) 321-3332
Mailing address
230 CLEARFIELD AVE., SUITE #124, VIRGINIA BEACH, VA 23462-1832
(757) 321-3383
(757) 321-3332

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-002346
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0110-002346
STATE LICENSE
VA
01
1072600
NCCPA
VA
Enumeration date
07/20/2006
Last updated
09/17/2015
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