Individual
DR. ROBERT M CAVAGNOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1965 S FREMONT AVE, SUITE 100, SPRINGFIELD, MO 65804-2201
(417) 820-3800
(417) 820-3810
Mailing address
1965 S FREMONT AVE, SUITE 100, SPRINGFIELD, MO 65804-2201
(417) 820-3800
(417) 820-3810
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2007026645
MO
208600000X
Surgery Physician
35086247
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043273188
—
MO
05
—
168867001
—
AR
01
—
431560263
TRICARE WEST
MO
01
—
P00709670
RAILROAD MEDICARE
—
Enumeration date
04/10/2006
Last updated
07/13/2009
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