Individual
DR. ROBERT A. OLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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