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Individual

DR. ROBERT L ELKINS

Active
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Individual

DR. ROBERT L ELKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0416084
KS
174400000X
Specialist
Primary
R6679
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07898051
BCBS
MO
05
201517
MO
01
340016725
RR MEDICARE
Enumeration date
05/18/2006
Last updated
08/13/2008
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