Individual
PAUL D ROBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
371 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5761
(573) 331-6710
(573) 334-1713
Mailing address
371 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5761
(573) 331-6710
(573) 334-1713
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
107577
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100134600A
—
OK
01
—
14046
BCBS
—
05
—
172973001
—
AR
05
—
207947912
—
MO
01
—
780002185
RAILROAD MEDICARE
—
Enumeration date
04/03/2006
Last updated
09/16/2013
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