Alta J. Deroo
Obstetrician & Gynecologist Internist - Addiction Medicine
767 Madison Rd Ste 107
Culpeper
, Virginia 22701
Alta J. Deroo
Obstetrician & Gynecologist Internist - Addiction Medicine
767 Madison Rd Ste 107
Culpeper
, Virginia 22701
(833) 953-0829
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About
Features
Specialties
- Internist - Addiction Medicine
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Alta J. Deroo
- Po Box 291943 525 Royal Parkway
- Nashville, TN
- Zip : 37229-1943
- Phone : (833) 953-0829
Second Address
- Alta J. Deroo
- 767 Madison Rd Ste 107
- Culpeper, VA
- Zip : 22701
- Phone : (703) 214-5825
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 2015108 | VA |
| N | 207V00000X | Obstetrician & Gynecologist | 0101237764 | VA |
National Provider Identifier
| NPI | 1184791725 |
|---|---|
| Provider Name | Alta J. Deroo |
| First Address | Nashville, TN 37229-1943 |
| Second Address | Culpeper, VA 22701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2006 |
| Last Update Date | 11/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.