Provider Demographics
NPI:1295799237
Name:JURKO, ROBERT M (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:M
Last Name:JURKO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3101 AMERICAN LEGION RD
Mailing Address - Street 2:SUITE 15
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5655
Mailing Address - Country:US
Mailing Address - Phone:757-484-5516
Mailing Address - Fax:757-484-7881
Practice Address - Street 1:3101 AMERICAN LEGION RD
Practice Address - Street 2:SUITE 15
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5655
Practice Address - Country:US
Practice Address - Phone:757-484-5516
Practice Address - Fax:757-484-7881
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2009-12-22
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Provider Licenses
StateLicense IDTaxonomies
VA0101038158207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA100349OtherANTHEM
VA010036046Medicaid
NC890674YOtherBCBS MEDICAID
VA00V734R14Medicare PIN
VA100349OtherANTHEM
B08220Medicare UPIN