Individual
DR. ROBERT RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1830 TOWN CENTER DR, SUITE 305, RESTON, VA 20190-3292
(703) 478-0601
(703) 876-0866
Mailing address
3020 HAMAKER CT, SUITE 400, FAIRFAX, VA 22031-2238
(703) 876-0800
(703) 876-0866
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101054607
VA
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
0101054607
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104134
—
VA
Enumeration date
03/17/2006
Last updated
06/08/2022
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