Individual
DR. ROBERT BRADFORD HOUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8255 E MAIN STREET, MARSHALL, VA 20115
(540) 364-1581
(540) 364-7314
Mailing address
PO BOX 337, MARSHALL, VA 20115
(540) 364-1581
(540) 364-7314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101044000
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005608376
—
VA
01
—
080057243
RAILROAD MEDICARE
—
01
—
092818
ANTHEM
VA
01
—
225271
MAMSI
—
01
—
519487
NCPPO
—
01
—
5709083
AETNA
—
01
—
99870003
CARE FIRST
—
Enumeration date
06/24/2006
Last updated
02/10/2011
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