Individual
ROBERT CONWAY DUFFER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9891 GENERAL PULLER HWY, HARTFIELD, VA 23071-3122
(804) 776-9221
(804) 776-7537
Mailing address
PO BOX 1328, KILMARNOCK, VA 22482-1328
(804) 435-8570
(804) 435-8037
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840439
VA
Other
Enumeration date
06/27/2006
Last updated
05/11/2015
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