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Individual
ROBERT MARC POUSMAN
Active
Individual
ROBERT MARC POUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A9252
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
20A9252
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
20A9252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX92520
—
CA
01
—
020A92520
BLUE SHIELD OF CA
CA
Enumeration date
06/26/2006
Last updated
02/28/2012
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