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Individual

ROBERT WOLVERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 N HOWARD ST, ALEXANDRIA, VA 22304-1634
(703) 519-5979
(703) 519-5981
Mailing address
4480 KING ST, ALEXANDRIA, VA 22302-1300
(703) 519-5979
(703) 519-5981

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101047477
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00497603
VA
Enumeration date
07/27/2006
Last updated
07/08/2007
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