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General NPI Number Information
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NPI Number | 1902807050
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Entity Type | Individual
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Provider Name | ROBERT D VOLLER MD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 2500 5TH ST N
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City | COLUMBUS
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State | MS
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Zip | 39705-2008
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Country | US
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Telephone | 662-327-6820
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Fax | 662-327-9388
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Provider Business Mailing Address
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Address Line | PO BOX 1806
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City | COLUMBUS
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State | MS
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Zip | 39703-1806
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Country | US
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Telephone | 662-327-6820
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Fax | 662-327-9388
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 07755
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 07755
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License Number State | MS
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