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General NPI Number Information
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NPI Number | 1225193303
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Entity Type | Individual
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Provider Name | ROBERT PETER STYPEREK MD
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Gender | Male
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 19 JOHN MADDOX DR NW STE B
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City | ROME
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State | GA
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Zip | 30165-1477
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Country | US
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Telephone | 706-368-8500
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Fax | 706-307-4613
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Provider Business Mailing Address
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Address Line | PO BOX 12938 C/O CLINIC MANAGEMENT
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City | CALHOUN
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State | GA
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Zip | 30703
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Country | US
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Telephone | 706-602-7800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 041491
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 041491
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License Number State | GA
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