Healthcare Provider Details

I. General information

NPI: 1699963926
Provider Name (Legal Business Name): ROBERT HENRY BUHR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2007
Last Update Date: 10/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 SPRUCE ST
MARTINSVILLE VA
24112-4509
US

IV. Provider business mailing address

PO BOX 4986
MARTINSVILLE VA
24115-4986
US

V. Phone/Fax

Practice location:
  • Phone: 276-656-1104
  • Fax: 276-656-1181
Mailing address:
  • Phone: 276-656-1104
  • Fax: 276-656-1181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101051990
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: