Individual
MR. ASHBY ROBERT TRUNDLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5354
(434) 296-9161
(434) 296-1036
Mailing address
3062 BEAUMONT FARM RD, CHARLOTTESVILLE, VA 22901-8705
(434) 979-1509
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101234677
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143828
ANTHEM
VA
01
—
2124919
MAMSI
VA
01
—
240917
SOUTHERN HEALTH
VA
01
—
9660491
CIGNA
VA
Enumeration date
12/30/2005
Last updated
07/08/2007
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