Individual
MR. JOHN BARTON D'ALESSANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
Mailing address
1900 ELECTRIC RD, SALEM, VA 24153-7474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840817
VA
363AS0400X
Surgical Physician Assistant
0110840817
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447238209
—
VA
05
—
8939128
—
VA
01
—
970007535
RAILROAD MEDICARE
VA
01
—
VA0117
JOHN DEERE
VA
Enumeration date
01/03/2006
Last updated
02/26/2020
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