Individual
DR. ROBERT L CORDER JR.
Active
Individual
DR. ROBERT L CORDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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