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Individual

DR. ROBERT A. OLDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9105 STONY POINT PKWY, RICHMOND, VA 23235-1979
(804) 287-1030
(804) 288-3529
Mailing address
9105 STONY POINT PKWY, RICHMOND, VA 23235-1979

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101 020136
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1053721
AETNA HMO
VA
01
1603383
UNITED HEALTHCARE
VA
01
2137661
ALLIANCE
VA
01
299905
SOUTHERN HEALTH
VA
01
53223
CARENET
VA
01
5475270
AETNA PPO
VA
01
64186
SENTARA FAMILY CARE
VA
01
8036132
CIGNA
VA
01
C06623
MEDICARE GROUP #
VA
01
CA4541
RAILROAD MEDICARE GROUP #
VA
01
P00175475
RAILROAD MEDICARE
VA
Enumeration date
04/22/2006
Last updated
07/08/2007
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