Individual
DR. ROBERT CLARKSON MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1828 W PLAZA DR, WINCHESTER, VA 22601-6365
(540) 662-9115
(540) 665-0411
Mailing address
1828 W PLAZA DR, WINCHESTER, VA 22601-6365
(540) 662-9115
(540) 665-0411
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
0101032249
VA
207KA0200X
Allergy Physician
14655
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000893525
MOUNTAIN STATE BC/BS
VA
01
—
000893525
MOUNTAIN STATE BC/BS
WV
05
—
006082904
—
VA
05
—
0070486000
—
WV
01
—
032684
ANTHEM BC/BS
VA
Enumeration date
07/14/2005
Last updated
12/02/2013
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