Individual
MR. ROBERT DEAN MCDAVITT
Active
Individual
MR. ROBERT DEAN MCDAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN BSN COCN CWCN
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
136779
MO
163WH0200X
Home Health Registered Nurse
136779
MO
163WW0000X
Wound Care Registered Nurse
136779
MO
163WX1500X
Ostomy Care Registered Nurse
136779
MO
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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