Individual
ROBERT DAVID HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, PHD
Contact information
Practice address
101 ELM AVE SE, ROANOKE, VA 24013-2222
(540) 985-8465
(540) 985-9928
Mailing address
101 ELM AVE SE, ROANOKE, VA 24013-2222
(540) 985-8465
(540) 985-9928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002922
VA
363AM0700X
Medical Physician Assistant
PA762
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95004545
—
KY
Enumeration date
07/03/2006
Last updated
02/08/2019
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