Individual
DR. ROBERT WAYNE POE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 STATE HIGHWAY 248 STE B, BRANSON, MO 65616-8004
(417) 213-9654
(417) 215-8055
Mailing address
320 S COMMERCIAL ST UNIT 2090, BRANSON, MO 65616-9998
(417) 213-9654
(417) 215-8055
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2023032112
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129628
WELLPATH INSURANCE
NC
01
—
31616
STATE MEDICAL LICENSE NUM
NC
01
—
5440587
AETNA
NC
01
—
68323
BLUE CROSS BLUE SHIELD
NC
05
—
6968323
—
NC
Enumeration date
01/17/2007
Last updated
03/26/2024
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