Individual
MR. ROBERT M JURKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3101 AMERICAN LEGION RD, SUITE 15, CHESAPEAKE, VA 23321-5655
(757) 484-5516
(757) 484-7881
Mailing address
3101 AMERICAN LEGION RD, SUITE 15, CHESAPEAKE, VA 23321-5655
(757) 484-5516
(757) 484-7881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101038158
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010036046
—
VA
01
—
100349
ANTHEM
VA
01
—
890674Y
BCBS MEDICAID
NC
Enumeration date
04/14/2006
Last updated
12/22/2009
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