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Individual

DR. ROBERT STOCKBURGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1420 N MAIN ST, BLACKSBURG, VA 24060-2522
(540) 951-8380
Mailing address
1350 S JEFFERSON FOREST LN, BLACKSBURG, VA 24060-8944

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-026605
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5623065
VA
05
5624410
VA
Enumeration date
12/01/2005
Last updated
08/12/2011
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