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Individual

ROBERT J. OBERMEYER

Active
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Individual

ROBERT J. OBERMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
0101237656
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010151660
VA
01
179040
ANTHEM BCBS
VA
01
2137379
MAMSI/OPTIMUM CHOICE
VA
01
3116108340000E
CIGNA
VA
01
5900564
NORTH CAROLINA MEDICAID
VA
05
5900564
NC
01
95794
OPTIMA/SENTARA HEALTH
VA
Enumeration date
07/31/2006
Last updated
12/17/2012
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