Individual
ROBERT JOSEPH CACCHIONE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 W MAUD ST, POPLAR BLUFF, MO 63901-4003
(573) 727-5872
(573) 785-2369
Mailing address
1717 W MAUD ST, POPLAR BLUFF, MO 63901-4003
(573) 727-5872
(573) 785-2369
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
N-6500
AR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R9A34
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110659
HEALTHLINK
MO
01
—
1180522
UNITED HEALTHCARE
MO
01
—
1685
BLUE CROSS BLUE SHIELD
MO
01
—
18339
BLUE CHOICE
MO
01
—
36215
CENTRAL STATES
MO
01
—
37110
ENCOMPASS
MO
01
—
90362
BLUE CROSS BLUE SHIELD
AR
Enumeration date
12/21/2005
Last updated
07/08/2007
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