Provider Demographics
NPI:1013947407
Name:SYMONS, ROBERT GRAY (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GRAY
Last Name:SYMONS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:8428 HIGHWAY 285
Mailing Address - Street 2:
Mailing Address - City:CONNEAUT LAKE
Mailing Address - State:PA
Mailing Address - Zip Code:16316-1118
Mailing Address - Country:US
Mailing Address - Phone:814-382-3159
Mailing Address - Fax:
Practice Address - Street 1:VAMC CLINIC 18955 PARK AVE.PLAZA
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335
Practice Address - Country:US
Practice Address - Phone:814-337-0170
Practice Address - Fax:814-337-4222
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS003351L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine