Individual
DR. ROBERT J STALLWORTH
Active
Individual
DR. ROBERT J STALLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25393
TN
2085R0202X
Diagnostic Radiology Physician
H7511
TX
2085R0202X
Diagnostic Radiology Physician
MD019382
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509515
IANP
TN
01
—
1519675
TSC
TN
01
—
3084906
TNONC
TN
05
—
3084906
—
TN
05
—
64037021
—
KY
Enumeration date
12/22/2005
Last updated
07/03/2018
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