Individual
DR. ROBERT LEE NEADERTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD08275
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0440482
UNITED HEALTHCARE
TN
01
—
3011452
BLUE CROSS BLUE SHIELD
TN
05
—
3165746
—
TN
Enumeration date
05/28/2005
Last updated
12/13/2013
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