Individual
JOAN ELIZABETH ROUNTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5421 PATTERSON AVE, RICHMOND, VA 23226-2003
(804) 285-2006
(804) 285-2799
Mailing address
301 CONCOURSE BLVD, SUITE 190, GLEN ALLEN, VA 23059
(804) 549-4030
(804) 549-4032
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101047640
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300083
UNITED HEALTHCARE
—
01
—
070005399
RAILROAD MEDICARE
—
01
—
077290
ANTHEM
—
01
—
533019
AETNA
—
05
—
5940494
—
VA
01
—
60208
SOUTHERN HEALTH
—
Enumeration date
07/26/2005
Last updated
06/08/2015
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