Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 22434 | NC |
Y | 111NI0900X | Internist | 22434 | NC |
N | 207RP1001X | Pulmonary Disease | 22434 | NC |
NPI | 1053345348 |
---|---|
Provider Name | Robert Alton Rostand |
First Address | High Point, NC 27262-7254 |
Second Address | High Point, NC 27265-8357 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 28/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110113971 | RR MEDICARE (01) | NC |
8973442 | (05) | NC |
C80989 | (02) |