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Individual

DR. ROBERT E ENGELHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
181 W MEADOW DR, VAIL, CO 81657
(970) 476-2451
(817) 877-0350
Mailing address
4100 INTERNATIONAL PLZ STE 600, FORT WORTH, TX 76109-4823
(817) 334-0530
(817) 877-0350

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
34007108
OH
207L00000X
Anesthesiology Physician
Primary
DR.0050828
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050065045
RAILROAD MEDICARE
OH
01
050072650
RAILROAD MEDICARE
OH
01
114129880
MICHIGAN MEDICAID
MI
01
2161806
BCMH
OH
05
2161806
OH
Enumeration date
07/13/2005
Last updated
05/23/2018
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