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Individual

ROBERT BEART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
222 W EULALIA ST, SUITE 100A, GLENDALE, CA 91204-2849
(818) 244-8161
(818) 244-5122
Mailing address
222 W EULALIA ST, SUITE 100A, GLENDALE, CA 91204-2849
(818) 244-8161
(818) 244-5122

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G76196
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
G76196
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477882413
CA
Enumeration date
06/28/2006
Last updated
05/12/2011
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