Individual
SAMUEL IVAN ROBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1556 BRANDON AVE SW, ROANOKE, VA 24015-2931
(314) 650-9448
Mailing address
1556 BRANDON AVE SW, ROANOKE, VA 24015-2931
(314) 650-9448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
VA
Other
Enumeration date
01/03/2017
Last updated
08/10/2021
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