Individual
DR. ROBERT W. HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 HOSPITAL DRIVE, OSAGE BEACH, MO 65065-3050
(573) 348-8100
(573) 348-8650
Mailing address
54 HOSPITAL DRIVE, OSAGE BEACH, MO 65065-3050
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
R5169
MO
207R00000X
Internal Medicine Physician
R5169
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200163244
—
MO
Enumeration date
09/07/2006
Last updated
08/19/2014
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