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Contact Information

ROBERT J GAUDET, MD
1773 ROSE RIDGE
CLINTWOOD, VA24228
 Phone: 276-218-0032
 Fax: 276-276-9260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Preventive Medicine/Occupational-Environmental Medicine

2083P0500X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for ROBERT J GAUDET · (Male)

NPI Number 1518908169
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2006
Last updated 08/09/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # D35461
  • VA License # 0101036758
  • VA License # 0101367586
  • MD Medicaid 549841400
  • VA Medicaid 1518908169
  • VA Medicaid 5600378000
Hospital affiliation(s)
  • BUCHANAN GENERAL HOSPITAL - (Acute Care)
    1535 SLATE CREEK ROAD
    GRUNDY, VA 24614
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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