Provider Demographics
NPI:1184842643
Name:MCGUFFIN, ROBERT ODELL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ODELL
Last Name:MCGUFFIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:111 FRANKLIN RD SE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-2134
Mailing Address - Country:US
Mailing Address - Phone:540-857-7748
Mailing Address - Fax:540-857-6374
Practice Address - Street 1:111 FRANKLIN RD SE
Practice Address - Street 2:SUITE 250
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24011-2134
Practice Address - Country:US
Practice Address - Phone:540-857-7748
Practice Address - Fax:540-857-6374
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101022663207PH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine