Individual
DR. ROBERT W HALSTED
Active
Individual
DR. ROBERT W HALSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
101829
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110166322
RAILROAD MEDICARE
—
05
—
206979809
—
MO
01
—
P01165975
RAILROAD MEDICARE
MO
Enumeration date
06/23/2006
Last updated
01/13/2015
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