Individual
ROBERT WALTER HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD27149
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930635514
GROUP TAX ID FOR BILLING
OR
01
—
CB3544
RR MEDICARE GROUP NUMBER
OR
01
—
P00389915
RR MEDICARE PTAN NUMBER
OR
01
—
P01428006
RR MEDICARE
OR
01
—
R0000WFBTV
GROUP PIN NUMBER
OR
01
—
R177736
MEDICARE PTAN
OR
Enumeration date
12/05/2006
Last updated
10/14/2015
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