MEDICARE: DR. ROBERT D FOOTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD11768	DC

General Provider Information

NPI Number	:	1376562116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT D FOOTER MD

Provider Business Mailing Address
First Line	:	5215 LOUGHBORO RD NW
Second Line	:	SUITE 520
City	:	WASHINGTON
State	:	DC
Zip	:	20016-2618
Country	:	US
Telephone Number	:	202-362-0355
Fax Number	:	202-537-5477

Provider Business Practice Location Address
First Line	:	5215 LOUGHBORO RD NW
Second Line	:	SUITE 520
City	:	WASHINGTON
State	:	DC
Zip	:	20016-2618
Country	:	US
Telephone Number	:	202-362-0355
Fax Number	:	202-537-5477

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	08/29/2011

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Directions to “ DR. ROBERT D FOOTER MD” Practice Location

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