Individual
JOEL DANIEL BASHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014
(540) 981-7000
(540) 985-6920
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 985-6920
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002795
VA
Other
Enumeration date
01/28/2006
Last updated
03/14/2019
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