Provider Demographics
NPI:1407899305
Name:MEANS, PAMELA A (RTR, M, BD)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:A
Last Name:MEANS
Suffix:
Gender:F
Credentials:RTR, M, BD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4125 BARLEY DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-8591
Mailing Address - Country:US
Mailing Address - Phone:540-380-3968
Mailing Address - Fax:
Practice Address - Street 1:1900 BRAEBURN DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-7304
Practice Address - Country:US
Practice Address - Phone:540-774-8500
Practice Address - Fax:540-774-8310
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01200040492471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography