Individual
DR. ROBERT BOYD HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10010 KENNERLY RD, ST ANTHONYS MEDICAL CENTER EMERGENCY DEPARTMENT, ST LOUIS, MO 63128
(314) 525-1906
(314) 525-4868
Mailing address
1216 OAKSHIRE LANE, KIRKWOOD, MO 63122
(314) 965-1376
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD113530
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930048094
RAILROAD
—
01
—
P00659028
RR MEDICARE
MO
Enumeration date
01/18/2007
Last updated
03/05/2009
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