Individual
ROBERT E CUDDIHEE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18000 INDIAN TREE RUN, GLENCOE, MO 63038-1576
(636) 458-3664
(636) 821-3481
Mailing address
18000 INDIAN TREE RUN, GLENCOE, MO 63038-1576
(636) 458-3664
(636) 821-3481
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29020
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200663920
—
MO
Enumeration date
03/23/2007
Last updated
04/28/2009
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