Individual
ROBERT W MICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0001
(202) 865-6611
(202) 865-6212
Mailing address
2041 GEORGIA AVE NW, STE 4308, WASHINGTON, DC 20060-0001
(202) 865-3415
(202) 865-6876
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
MD13015
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029900600
—
DC
05
—
07119143
—
VA
05
—
091551300
—
MD
Enumeration date
08/25/2006
Last updated
01/24/2017
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