Individual
ROBERT D MOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BRAEBURN DR, VALLEY GASTROENTEROLOGY OF SW VA, SALEM, VA 24153
(540) 776-6300
(540) 776-1103
Mailing address
1906 BRAEBURN DR., VALLEY GASTROENTEROLOGY OF SOUTHWEST VA PC, SALEM, VA 24153
(540) 776-6300
(540) 776-6300
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101043742
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006098088
—
VI
01
—
100009138
MEDICARE RAILROAD
—
01
—
260809
ANTHEM
—
Enumeration date
01/06/2006
Last updated
08/29/2013
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