Individual
DR. NATHAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19415 DEERFIELD AVENUE, SUITE 112, LANSDOWNE, VA 20176-8470
(703) 724-1195
(703) 724-4495
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, SUITE 112, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101259989
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942526165
—
VA
Enumeration date
04/13/2010
Last updated
11/30/2022
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