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Individual

DR. ROBERT HACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1300 HRC PLAZA DR, LAKE ST LOUIS, MO 63367-1869
(314) 755-1084
Mailing address
PO BOX 1209, MARYLAND HEIGHTS, MO 63043-0209

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2019008677
MO
2086S0129X
Vascular Surgery Physician
252045
NY
2086S0129X
Vascular Surgery Physician
35126367
OH
2086S0129X
Vascular Surgery Physician
46827
KY
2086S0129X
Vascular Surgery Physician
MD444137
PA

Other

Enumeration date
09/23/2008
Last updated
01/16/2024
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