Organization
PIEDMONT ENT SPECIALIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRUCE ROBILLARD MD (PRESIDENT)
(434) 799-9999
Entity
Organization
Contact information
Practice address
159 EXECUTIVE DR STE J, DANVILLE, VA 24541-4160
(434) 799-9999
(434) 799-1301
Mailing address
PO BOX 10030, DANVILLE, VA 24543-5001
(434) 799-9999
(434) 799-1301
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101046865
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006501044
—
VA
Enumeration date
05/20/2008
Last updated
05/20/2008
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