Individual
JONATHAN ROBERT NOGUEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 985-6920
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5516
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102205057
VA
207Q00000X
Family Medicine Physician
0102205057
VA
207R00000X
Internal Medicine Physician
0102205057
VA
208000000X
Pediatrics Physician
0102205057
VA
208100000X
Physical Medicine & Rehabilitation Physician
0102205057
VA
2085R0202X
Diagnostic Radiology Physician
0102205057
VA
208600000X
Surgery Physician
0102205057
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/02/2014
Last updated
04/24/2026
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