Organization
PHYSICIAN ASSOCIATES OF VIRGINIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARION C OLSON (CEO)
(540) 767-9650
Entity
Organization
Contact information
Practice address
1421 3RD ST SW, ROANOKE, VA 24016-5204
(540) 345-4946
Mailing address
1421 3RD ST SW, ROANOKE, VA 24016-5204
(540) 345-4946
(540) 982-7164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
0110001871
VA
Other
Enumeration date
06/04/2006
Last updated
08/13/2025
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