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Individual

DR. PATSY J LOIACONO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6330 N CENTER DR, BUILDING 13 STE 220, NORFOLK, VA 23502-4008
(757) 466-0089
(757) 466-8017
Mailing address
6330 N CENTER DR, BUILDING 13 STE 220, NORFOLK, VA 23502-4008
(757) 466-0089
(757) 466-8017

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
0101019495
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0101019495
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139178
BCBS
VA
01
25040
OPTIMA
VA
05
7271930
VA
05
890529C
NC
Enumeration date
12/01/2005
Last updated
02/28/2008
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