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Individual

DR. ROBERT HOWARD MCCONVILLE JR.

Active
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Individual

DR. ROBERT HOWARD MCCONVILLE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20316
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0138851
UNITED HEALTHCARE
NC
01
—
133545617
TRICARE
NC
01
—
270326
MAMSI
NC
01
—
27772
MEDCOST
NC
01
—
3913
PARTNERS
NC
01
—
412013354
RR MEDICARE
NC
01
—
55856
BCBS
NC
05
—
8955856
—
NC
Enumeration date
06/08/2005
Last updated
06/23/2022
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