Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101257305 | VA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 0101257305 | VA |
NPI | 1194959387 |
---|---|
Provider Name | Robert B Rawles |
First Address | North Chesterfield, VA 23225-4067 |
Second Address | North Chesterfield, VA 23235-4765 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2009 |
Last Update Date | 21/10/2020 |