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Individual

ROBERT C ROSTOMILY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD00026698
WA
207T00000X
Neurological Surgery Physician
Primary
R0491
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0231760
L&I
WA
05
1760549208
WA
01
7542
INTERNAL ID-MOTOR VEHICLE ID
01
8GJ312
BCBS
TX
Enumeration date
01/03/2007
Last updated
01/17/2017
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