Dallas, Robert L.

Dallas, Robert L. is an individual health care provider with primary practice located at 5115 Bernard Dr Suite 201, Roanoke VA 24018-4357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dallas, Robert L. can be contacted via phone (540) 345-0289.

Contact Information

Primary practice address
5115 Bernard Dr Suite 201 Roanoke VA 24018-4357
Phone: (540) 345-0289
Fax: (540) 345-9569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101039666 Virginia

Profile Details

NPI number 1194702027
LBN Legal business name Dallas, Robert L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Mar 10th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194702027 NPPES
Virginia MEDICAID 1194702027

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