Healthcare Provider Details

I. General information

NPI: 1831151372
Provider Name (Legal Business Name): ROBERT P IRONS JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SPOTTSWOOD DR
LEXINGTON VA
24450-2454
US

IV. Provider business mailing address

100 SPOTTSWOOD DR
LEXINGTON VA
24450-2454
US

V. Phone/Fax

Practice location:
  • Phone: 540-463-7108
  • Fax: 540-462-2923
Mailing address:
  • Phone: 540-463-7108
  • Fax: 540-462-2923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101021934
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: