Individual
ROBERT E PHILLIPPE
Active
Individual
ROBERT E PHILLIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C01009
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129076701
—
AR
01
—
5S537
BCBS
AR
05
—
918392309
—
MO
01
—
P00082511
RAILROAD MEDICARE
—
Enumeration date
05/05/2006
Last updated
05/19/2008
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