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Individual
ROBERT ALAN MCCREADY
Active
Individual
ROBERT ALAN MCCREADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01035525A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01035525
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000187034
BCBS PIN
—
05
—
100327100
—
IN
01
—
770002871
RAILROAD MEDICARE
—
01
—
P00632725
RAILROAD MEDICARE
IN
Enumeration date
07/18/2006
Last updated
06/14/2021
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