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Dr. Edward O Tackey, MD
Rheumatology Physician in Salem, Virginia
NPI 1669488110

Edward O Tackey is a Rheumatology Physician based in Dover, VA and is specialized in Rheumatology. Edward O Tackey practices in Salem, VA and has the professional credentials of MD. The NPI Number for Edward O Tackey is 1669488110 and holds a License No. MD24622 (Virginia).

The current practice location address for Edward O Tackey is 1930 Braeburn Cir, Salem, VA and can be reached out via phone at 540-772-3707 and via fax at 540-772-3739.

Location: 1930 Braeburn Cir, Salem, VA, 19904-5773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669488110
Provider Name
Edward O Tackey
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1930 Braeburn Cir, Salem, VA, 19904-5773
Phone Number
540-772-3707
Fax Number
540-772-3739
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669488110 05 VA
P00621111 01 VA MEDICARE RAILROAD
227217 05 OR
institution
Provider Business Practice Location Address Details
Address
1930 Braeburn Cir
City
Salem
State
Virginia
Zip
24153-7388
Phone Number
540-772-3707
Fax Number
540-772-3739
person
Provider Business Mailing Address Details
Address
1930 Braeburn Cir
City
Salem
State
Virginia
Zip
24153-7388
Phone Number
540-772-3707
Fax Number
540-772-3739
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101243144 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Rheumatology
Taxonomy
207RR0500X
License No.
MD24622 (Oregon)
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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