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Individual
DR. ROBERT EDWIN EXTEN JR.
Active
Individual
DR. ROBERT EDWIN EXTEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
35.038459
OH
207RH0003X
Hematology & Oncology Physician
35038459E
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000142119
ANTHEM
OH
05
—
0519460
—
OH
01
—
830006430
MEDICARE RAILRROAD
OH
Enumeration date
06/23/2005
Last updated
08/21/2023
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