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Individual

RICHARD HILLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
R4366
MO
208000000X
Pediatrics Physician
Primary
R4366
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200631711
MO
01
6190 & 127403
BLUE SHIELD/BLUE CHOICE
MO
01
7504015
UNITED HEALTHCARE
MO
Enumeration date
05/27/2006
Last updated
08/16/2011
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