Individual
DR. ROBERT D DURST JR.
Active
Individual
DR. ROBERT D DURST JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
04-15120
KS
207ND0101X
MOHS-Micrographic Surgery Physician
04-15120
KS
207ND0900X
Dermatopathology Physician
04-15120
KS
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
04-15120
KS
207NP0225X
Pediatric Dermatology Physician
04-15120
KS
207NS0135X
Procedural Dermatology Physician
04-15120
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000095
BLUE CROSS BLUE SHIELD KS
—
01
—
070005489
RAILROAD MEDICARE
KS
Enumeration date
10/02/2006
Last updated
03/18/2009
Update your record
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