Provider Demographics
NPI:1043263148
Name:MELTVEDT, ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:MELTVEDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1077 N SHENANDOAH AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-3546
Mailing Address - Country:US
Mailing Address - Phone:540-635-0780
Mailing Address - Fax:540-635-2612
Practice Address - Street 1:351 VALLEY HEALTH WAY # 200
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-6480
Practice Address - Country:US
Practice Address - Phone:540-636-0600
Practice Address - Fax:540-636-0629
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101055140208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery