Individual
DR. ROBERT W PHARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1027 MEMORIAL DR, OAKLAND, MD 21550-4343
(301) 533-3300
(301) 533-3299
Mailing address
6 N WIND WAY, MORGANTOWN, WV 26508-1117
(304) 240-5967
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21259
WV
207Q00000X
Family Medicine Physician
Primary
D0086835
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005711000
—
WV
Enumeration date
05/16/2006
Last updated
10/16/2019
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