Individual
ROBERT H BLACKSHEAR
Active
Individual
ROBERT H BLACKSHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1999141055
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158593001
—
AR
01
—
194111
BCBS
MO
05
—
2000100530A
—
OK
01
—
20174319965616C002
TRICARE
MO
05
—
204801609
—
MO
05
—
204801625
—
MO
01
—
421313
HEALTHLINK
MO
01
—
9917
COX HEALTH
MO
01
—
P00194816
RAILROAD
MO
05
—
XPY202792
—
CA
Enumeration date
09/14/2005
Last updated
08/16/2021
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