Individual
DR. ROBERT MICHAEL DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1854 BROADWAY ST, CAPE GIRARDEAU, MO 63701-4553
(573) 271-2923
(888) 523-2655
Mailing address
454 WEST ST, FROHNA, MO 63748-9143
(573) 979-1809
(888) 523-2655
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO4199
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
016005170
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2004013247
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
250
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005170
—
IL
01
—
197250
BLUE CROSS BLUE SHEILD
MO
01
—
2474055
UNITEDHEALTHCARE
MO
05
—
307288506
—
MO
05
—
307288514
—
MO
01
—
5621628
FIRST HEALTH
MO
01
—
706133
HEALTHLINK
MO
Enumeration date
03/01/2006
Last updated
11/15/2022
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