Individual
ROBERT L FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 JOHN ST, EVANSVILLE, IN 47713-2733
(812) 436-0224
(812) 436-0230
Mailing address
315 MULBERRY ST, EVANSVILLE, IN 47713-1252
(812) 421-7489
(812) 436-0209
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23450
KY
207Q00000X
Family Medicine Physician
Primary
01030700A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200065860
—
IN
05
—
64234503
—
KY
Enumeration date
10/19/2005
Last updated
04/27/2021
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