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Individual

MARIA R SORIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4040 POSTAL DR, ROANOKE, VA 24018-6438
(540) 772-4453
(540) 772-4717
Mailing address
1215 3RD ST SW, ROANOKE, VA 24016-4611
(540) 857-9700
(540) 857-9700

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101242281
VA
208000000X
Pediatrics Physician
15221
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00117933
MS
Enumeration date
11/10/2005
Last updated
11/10/2021
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