Individual provider · Type 1 NPI

Joel Daniel Bashore, PA-C

Medical Physician Assistant · Roanoke, VA

NPI number 1750352845 Active

Practice location

1906 Belleview Ave SE
Roanoke, VA 24014

Fax (540) 985-6920

Other practice locations

  • Psc 36 Box 531, Fpo, AE 09636 ·

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110002795 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1750352845

Joel Daniel Bashore, PA-C's National Provider Identifier is 1750352845, issued on Jan 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Roanoke, VA. The record was last updated on Mar 14, 2019.