Individual
DR. ROBERT C DESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 HOSPITAL DR STE 200, LEBANON, MO 65536-9227
(417) 533-6780
Mailing address
120 HOSPITAL DR STE 200, LEBANON, MO 65536-9227
(417) 533-6780
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2020033698
MO
208600000X
Surgery Physician
41136
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67950574
—
CO
Enumeration date
07/16/2006
Last updated
12/21/2022
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