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Individual

DR. AMOR A. BARONGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
280 VIRGINIA AVENUE, SUITE 107, NORTON, VA 24273
(276) 679-4455
(276) 679-5416
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010121772
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010173426
VA
Enumeration date
02/15/2006
Last updated
07/27/2012
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