Individual
MR. JOHN F PERNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 985-6920
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 985-6920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002421
VA
363AM0700X
Medical Physician Assistant
0110002421
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073883
NCCPA
—
Enumeration date
02/21/2007
Last updated
12/27/2018
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