Individual
MR. ROBERT L HALTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 E POPLAR ST, STE A, CLARKSVILLE, AR 72830-4419
(479) 754-5337
(479) 754-5348
Mailing address
901 E. 104TH ST., MAILSTOP 400N, KANSAS CITY, MO 64131-9712
(816) 502-8752
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
119015
MO
207V00000X
Obstetrics & Gynecology Physician
02241
KY
207V00000X
Obstetrics & Gynecology Physician
119015
MO
207VG0400X
Gynecology Physician
Primary
200300349
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000538418
ANTHEM
KY
01
—
02241
STATE LICENSE
KY
01
—
119015
STATE LICENSE
MO
05
—
N49003
—
SC
Enumeration date
06/16/2006
Last updated
01/29/2025
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