Individual
ROBERT E KOEHLER
Active
Individual
ROBERT E KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10253
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010714
—
AL
01
—
000010717
BLUE CROSS
AL
01
—
00124502
MISSISSIPPI MEDICAID
MS
05
—
009909415
—
AL
05
—
009936804
—
AL
01
—
010033CC76178
SECTION 1011
AL
01
—
051505965
BLUE CROSS
AL
05
—
051505965
—
AL
01
—
051510728
BLUE CROSS
AL
01
—
051512216
BLUE CROSS
AL
01
—
300032378
RAILROAD MEDICARE
AL
01
—
C76178
VIVA
AL
Enumeration date
06/28/2006
Last updated
07/05/2011
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