Individual
DR. ROBERT CYRIL MCNAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1095
(417) 347-5424
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-1095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005005293
MO
208M00000X
Hospitalist Physician
Primary
2005005293
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200329990A
—
KS
05
—
207298605
—
MO
01
—
35371011
BLUE SHIELD KANSAS CITY
MO
01
—
7163639
AETNA
MO
Enumeration date
06/13/2005
Last updated
12/31/2019
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