Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 0101246722 | VA |
NPI | 1477754885 |
---|---|
Provider Name | Mr. Robert Skolfield Schmidt |
First Address | Richmond, VA 23233 |
Second Address | College Station, TX 77845-6080 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 07/05/2018 |