Individual
DR. JANINE MARIE TALTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2702 BRAMBLETON AVE SW, ROANOKE, VA 24015-4308
(540) 685-2670
Mailing address
2702 BRAMBLETON AVE SW, ROANOKE, VA 24015-4308
(540) 685-2670
(540) 685-2671
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
20A6830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102202736
MEDICAL LICENSE
VA
Enumeration date
02/28/2007
Last updated
07/16/2019
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