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Individual
DR. ROBERT HENRY EWING JR.
Active
Individual
DR. ROBERT HENRY EWING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD18042
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WCPBQ
MEDICARE GROUP NUMBER
OR
01
—
004515001
BLUE CROSS/BLUE SHIELD
OR
05
—
053574
—
OR
01
—
180013711
RAILROAD MEDICARE
OR
01
—
180036229
RAILROAD MEDICARE
CA
01
—
18836229
RAILROAD MEDICARE
CA
01
—
4164730003
CIGNA MEDICARE
CA
05
—
GR0063170
—
CA
01
—
ZZZ13445Z
MEDICARE GROUP NUMBER
CA
Enumeration date
06/17/2005
Last updated
06/10/2009
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