MEDICARE: MR. ROBERT LAMAR EYSTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	15948	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	200041418	OTHER	KS	RAILROAD MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063416048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT LAMAR EYSTER M.D.

Provider Business Mailing Address
First Line	:	1131 S CLIFTON AVE
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-2955
Country	:	US
Telephone Number	:	316-858-1600
Fax Number	:	316-858-1601

Provider Business Practice Location Address
First Line	:	1131 S CLIFTON AVE
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-2955
Country	:	US
Telephone Number	:	316-858-1600
Fax Number	:	316-858-1601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	04/17/2008

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