MEDICARE: RICHARD HESTER MD

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	207Q00000X	Family Medicine Physician	TEP5454	NE
2	207Q00000X	Family Medicine Physician	2009027850	MO

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	:	1831280197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD HESTER MD

Provider Business Mailing Address
First Line	:	PO BOX 505673
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63150-5673
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 PHYSICIANS PARK
Second Line	:	SUITE# 303
City	:	POPLAR BLUFF
State	:	MO
Zip	:	63901-3935
Country	:	US
Telephone Number	:	573-785-6536
Fax Number	:	573-785-0345

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	08/27/2024

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Directions to “ RICHARD HESTER MD” Practice Location

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