Individual
DR. SCOTT ROBERT HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11958 W BROAD ST, HENRICO, VA 23233
(804) 360-4669
(804) 364-6697
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101249385
VA
2084N0400X
Neurology Physician
38835
IA
Other
Enumeration date
11/07/2007
Last updated
06/08/2018
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