Individual
DR. ROBERT CHARLES MIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2568
(855) 903-0985
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1215550454
MO
163W00000X
Registered Nurse
14-125308-072
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
2020013534
MO
367500000X
Certified Registered Nurse Anesthetist
43-557783-072
KS
Other
Enumeration date
05/22/2020
Last updated
04/24/2026
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