Robert Conway Duffer Jr., PA
Individual provider Active NPI Physician Assistant · Hartfield, VA
NPI 1013944925 · NPPES record last updated May 11, 2015
Key facts
- NPI
- 1013944925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110840439 (VA)
- Practice address
- 9891 General Puller Hwy
Hartfield, VA 23071-3122 - Phone
- (804) 776-9221
- Fax
- (804) 776-7537
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Medical Group | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110840439 | VA | Yes |
Addresses
Primary practice location
9891 General Puller Hwy
Hartfield, VA 23071-3122
Mailing address
PO Box 1328
Kilmarnock, VA 22482-1328
Phone (804) 435-8570
Other providers in Hartfield, VA
- Rachel Ann Boles
- Alethea Michelle Butler
- Chesapeake Hospital LLC
- Chesapeake Hospital LLC
- Chesapeake Medical Group, Inc
- Karen Elizabeth Durniak
- Ann Frances Easton
- Paul Francis Fairbrother
- Susan Horne
- Peter Liljeberg
All providers in Hartfield, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.