Provider Demographics
NPI:1205056041
Name:COMER, ROBERT WALLACE (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WALLACE
Last Name:COMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-316-5800
Mailing Address - Fax:
Practice Address - Street 1:12420 WARWICK BLVD STE 4C
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3053
Practice Address - Country:US
Practice Address - Phone:757-596-7115
Practice Address - Fax:757-596-7127
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2007-00929207R00000X
VA0101286123207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine