Provider Demographics
NPI:1720255342
Name:MUST, ROBERT (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:MUST
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24991-0010
Mailing Address - Country:US
Mailing Address - Phone:304-645-7872
Mailing Address - Fax:304-645-7873
Practice Address - Street 1:RT 219 NORTH
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:WV
Practice Address - Zip Code:24946
Practice Address - Country:US
Practice Address - Phone:304-653-4209
Practice Address - Fax:304-653-4200
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1001204D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM