Individual
DR. ROBERT EDWARD FAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 HEARTLAND RD, SUITE 2800, SAINT JOSEPH, MO 64506-6200
(816) 271-1213
(816) 271-6423
Mailing address
17793 COUNTRY CLUB RD, ATCHISON, KS 66002
(816) 262-5917
(816) 271-6423
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-16292
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001243601
COMMUNITY HEALTH PLAN
—
05
—
100132140B
—
KS
01
—
18257025
BLUE CROSS BLUE SHIELD
MO
05
—
203288204
—
MO
01
—
210633
HEALTHLINK
—
01
—
44054528964506V016
TRICARE/CHAMPUS
—
01
—
4571202
AETNA
—
01
—
463839
CHILDRENS MERCY FAMILY HEALTH
MO
01
—
602270
FIRSTGUARD
—
01
—
P00036159
RAILROAD MEDICARE
—
Enumeration date
07/13/2006
Last updated
12/06/2023
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