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Individual

DR. ROBERT W HALSTED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 239-7500
(636) 239-2836
Mailing address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 239-7500
(636) 239-2836

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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