# DR. ROBERT R HAUSAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174789531
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 173300-1205 | UT | — |
| 207Q00000X | Family Medicine Physician | 2019009748 | MO | Yes |

## Other

- **Enumeration date:** 08/05/2008
- **Last updated:** 02/06/2024