Individual
ROBERT C WALDRIP
Active
Individual
ROBERT C WALDRIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13525
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912990094
AHCCCS
AZ
01
—
1912990994
BC/BS AZ OUT OF AREA
—
01
—
200006477
RAILROAD MEDICARE
—
01
—
256083
AHCCCS
—
05
—
256083
—
AZ
01
—
2Z3248
HEALTH NET
AZ
01
—
5124334
AETNA
AZ
01
—
730511
UNITED HEALTHCARE
AZ
01
—
AZ0334260
BCBS BLUECARD PROGRAM
AZ
Enumeration date
08/24/2005
Last updated
10/12/2011
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