Provider Demographics
NPI:1255588562
Name:DIBBLE, ROBIN LI (MD)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LI
Last Name:DIBBLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:503 WESTMORELAND RD.
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4113
Mailing Address - Country:US
Mailing Address - Phone:703-534-0735
Mailing Address - Fax:703-534-0735
Practice Address - Street 1:503 WESTMORELAND RD.
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4113
Practice Address - Country:US
Practice Address - Phone:703-534-0735
Practice Address - Fax:703-534-0735
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010587372083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine