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Individual
ROBERT M UNDERWOOD
Active
Individual
ROBERT M UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101230784
VA
207Q00000X
Family Medicine Physician
Primary
MD2018-0896
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1806441000
WEST VA MEDICAID
VA
05
—
5861896
—
VA
01
—
930116680
RAILROAD MEDICARE
VA
Enumeration date
06/12/2006
Last updated
05/29/2019
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