Individual
JOSEPH ALOYSIUS ROENKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
301 RIVERVIEW AVE STE 100, NORFOLK, VA 23510-1065
(757) 252-9365
(757) 962-7217
Mailing address
301 RIVERVIEW AVE STE 100, NORFOLK, VA 23510-1065
(757) 252-9365
(757) 962-7217
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004635
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942612817
TRICARE
VA
Enumeration date
05/28/2014
Last updated
12/29/2023
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