Individual
DR. ROBERT L. ELWORTH
Active
Individual
DR. ROBERT L. ELWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
R4D87
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100276
BLUE
—
05
—
202079133
—
MO
Enumeration date
08/30/2006
Last updated
02/07/2019
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