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ROBERT BRIAN STEPHENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2900 LAMB CIR, SUITE L-760, CHRISTIANSBURG, VA 24073-6344
(540) 731-2436
(540) 731-2439
Mailing address
2900 LAMB CIRCLE, SUITE L-760, CHRISTIANSBURG, VA 24073-6345
(540) 731-2436
(540) 731-2439

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101042429
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1942272307
INTOTAL
VA
05
1942272307
VA
01
3810002168
MEDICAID OF WEST VIRGINIA
VA
01
541586601118
TRICARE/CHAMPUS
VA
Enumeration date
02/01/2006
Last updated
12/09/2020
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