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Individual

MICHAEL PROBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
120 KINGS WAY STE 2800, WILLIAMSBURG, VA 23185-2506
(757) 534-9988
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110009555
VA
363A00000X
Physician Assistant
Primary
C06422
MD

Other

Enumeration date
03/16/2017
Last updated
11/29/2023
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