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Individual

DR. ROBERT H ROUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD.204049
LA
207W00000X
Ophthalmology Physician
Primary
ME 115506
FL
390200000X
Student in an Organized Health Care Education/Training Program
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HC560Z
MEDICARE ID
Enumeration date
06/18/2009
Last updated
10/06/2022
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