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Individual
ROBERT BRADLEY REEVES
Active
Individual
ROBERT BRADLEY REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
100174
MO
207X00000X
Orthopaedic Surgery Physician
7623
SD
207X00000X
Orthopaedic Surgery Physician
Primary
C-7011
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100135410B
—
KS
01
—
11464
ANTHEM
MO
01
—
200033678
RR MEDICARE
—
05
—
203311006
—
MO
Enumeration date
07/21/2006
Last updated
02/23/2021
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