Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 0102202407 | VA |
N | 208000000X | Pediatrician | 0102202407 | VA |
N | 208000000X | Pediatrician | OT011353 | PA |
NPI | 1033232269 |
---|---|
Provider Name | Alina H Tobey |
First Address | Blacksburg, VA 24060-6618 |
Second Address | Blacksburg, VA 24060-6828 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 07/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0009717397 | AETNA (01) | VA |
378129 | ANTHEM (01) | VA |