Individual
DR. ROBERT R HAUSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 CANTERBURY DR, COLUMBIA, MO 65203-2911
(801) 810-0575
Mailing address
805 CANTERBURY DR, COLUMBIA, MO 65203-2911
(801) 810-0575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
173300-1205
UT
207Q00000X
Family Medicine Physician
Primary
2019009748
MO
Other
Enumeration date
08/05/2008
Last updated
02/06/2024
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