Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 0101048191 | VA |
NPI | 1063521904 |
---|---|
Provider Name | Dr. Robert S Call |
First Address | Richmond, VA 23233-1487 |
Second Address | Richmond, VA 23233-1487 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 26/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
052649 | ANTHEM (01) | VA |
6039511 | (05) | VA |
F32686 | (02) | VA |