Individual
DR. ROBERT WILLIAM POOLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 HARRIS RD, BUILDING 5, KILMARNOCK, VA 22482-3845
(804) 435-3146
(804) 435-6054
Mailing address
PO BOX 609, KILMARNOCK, VA 22482-0609
(804) 435-3146
(804) 435-6054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101027145
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64-84492
—
VA
Enumeration date
08/23/2005
Last updated
07/08/2007
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