Individual
DR. ROBERT WILSON HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2521 GLENN HENDREN DR, SUITE 204, LIBERTY, MO 64068-3388
(816) 781-6066
(816) 792-5130
Mailing address
2521 GLENN HENDREN DR, SUITE 204, LIBERTY, MO 64068-3388
(816) 781-6066
(816) 792-5130
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34585
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0388010001
DMERC
MO
01
—
1396761334
LIBERTY ORTHOPEDIC ASSOCIATES, PC NPI
MO
05
—
200832301
—
MO
01
—
4750000
LIBERTY ORTHOPEDIC ASSOCIATES, PC PTAN
MO
01
—
4753996
MEDICARE PTAN
MO
Enumeration date
10/05/2005
Last updated
05/05/2015
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