Individual
ROBERT H BLACKSHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
449 S OAKS DR, SPRINGFIELD, MO 65809-1101
(417) 496-6654
Mailing address
449 S OAKS DR, SPRINGFIELD, MO 65809-1101
(417) 496-6654
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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