Provider Demographics
NPI:1366404493
Name:DISLER, ROBIN S (MD)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:S
Last Name:DISLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7001 FOREST AVE
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1726
Mailing Address - Country:US
Mailing Address - Phone:804-282-7857
Mailing Address - Fax:804-282-7899
Practice Address - Street 1:7001 FOREST AVE
Practice Address - Street 2:SUITE 2500
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1726
Practice Address - Country:US
Practice Address - Phone:804-282-7857
Practice Address - Fax:804-282-7899
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2011-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101058233207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA110217731OtherRAILROAD MEDICARE
VA215820OtherANTHEM BCBS OF VA
VA5252635OtherAETNA HMO
VA122917OtherSOUTHEN HEALTH SERVICES
VA6095637OtherCIGNA
VA5252635OtherAETNA LIFE
VA010017181Medicaid
VA292523OtherMAMSI
VA43925OtherSENTARA
VA292523OtherMAMSI