Individual
ROBERT INNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13016 MIMOSA FARM CT, ROCKVILLE, MD 20850-3700
(240) 453-0776
(310) 693-2979
Mailing address
13016 MIMOSA FARM CT, ROCKVILLE, MD 20850-3700
(240) 453-0776
(310) 693-2979
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0056635
MD
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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