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Individual

ROBERT T. TOWNSEND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(407) 797-5407
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5227
(740) 441-8058

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
257529
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000006616
ANTHEM BCBS
01
001714082
MOUNTAIN STATE BCBS
05
0066748000
WV
01
0128374
MOLINA MEDICAID #
OH
05
0128374
OH
01
430023794
RR MEDICARE
OH
Enumeration date
07/15/2006
Last updated
12/07/2020
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