Provider Demographics
NPI:1679820005
Name:LA BARRE, ROBERT ROWAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ROWAN
Last Name:LA BARRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 BLACKS HILL RD
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-1301
Mailing Address - Country:US
Mailing Address - Phone:510-863-7811
Mailing Address - Fax:
Practice Address - Street 1:829 BLACKS HILL RD
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:VA
Practice Address - Zip Code:22066-1301
Practice Address - Country:US
Practice Address - Phone:510-863-7811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC40181207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine