Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 0101261176 | VA |
N | 207VX0201X | Gynecologic Oncologist | 31668 | NC |
NPI | 1386678597 |
---|---|
Provider Name | Fidel Arthur Valea |
First Address | Roanoke, VA 24016-4962 |
Second Address | Roanoke, VA 24016-4962 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/12/2020 |