Individual
DR. ROBERT G CANADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 PARK HILL DR, FREDERICKSBURG, VA 22401-3357
(540) 371-3010
(540) 899-9821
Mailing address
101 PARK HILL DR, FREDERICKSBURG, VA 22401-3357
(540) 371-3010
(540) 899-9821
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101239758
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010290511
—
VA
01
—
342795
ANTHEM BLUE CROSS BLUE SHIELD
VA
01
—
P00327601
RAILROAD
—
Enumeration date
05/28/2006
Last updated
05/14/2008
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