Individual
DR. ROBERT L CORDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
902 EDMOND ST STE 203, SAINT JOSEPH, MO 64501-2762
(816) 364-4300
Mailing address
902 EDMOND ST STE 203, SAINT JOSEPH, MO 64501-2762
(816) 364-4300
(816) 279-8148
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
R6429
MO
207V00000X
Obstetrics & Gynecology Physician
R6429
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04119010
BLUE CROSS BLUE SHIELD
MO
05
—
100002320B
—
KS
01
—
10001223901
COMMUNITY HEALTH PLAN
—
05
—
200946119
—
MO
01
—
206202
HEALTHLINK
—
01
—
44054528964506V014
TRICARE/CHAMPUS
—
01
—
4570847
AETNA
—
01
—
465446
CHILDRENS MERCY FAMILY HEALTH
MO
01
—
602260
FIRSTGUARD
—
01
—
P00036215
RAILROAD MEDICARE
—
Enumeration date
07/13/2006
Last updated
01/26/2022
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