Individual
ROBERT BYRNE
Active
Individual
ROBERT BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R1J78
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010010
ESSENCE
MO
01
—
000000012459
ESSENCE ST CHARLES
MO
01
—
0400915
UHC
MO
01
—
0403000
UHC MEDICARE COMPLETE
—
01
—
11011
BCBS
MO
01
—
127465
GHP
—
01
—
165438
HEALTHLINK
MO
05
—
202580312
—
MO
01
—
5241272
AETNA
MO
01
—
B18388
MERCY
MO
01
—
D04003
EXCLUSIVE CHOICE
MO
Enumeration date
11/08/2005
Last updated
09/21/2012
Update your record
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