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Individual

ROBERT R CONWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
315 BUSINESS LOOP 70 W, COLUMBIA, MO 65203-3248
(573) 884-0033
(573) 884-0055
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
R8E58
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102433
HEALTHLINK
MO
05
202140901
MO
01
2086330601
KANSAS MEDICAID
MO
01
2304014
UNITED HEALTHCARE
MO
01
8472
BLUE SHIELD
MO
Enumeration date
07/06/2006
Last updated
03/28/2012
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