MEDICARE: DR. ROBERT E. MAURER 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	174400000X	Specialist	G35391	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	340000085	OTHER	CA	RAILROAD MEDICARE
3	340000085	OTHER	CA	MEDICARE RR

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	:	1215922190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT E. MAURER M.D.

Provider Business Mailing Address
First Line	:	2121 AIRPARK DR
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-2433
Country	:	US
Telephone Number	:	530-244-6001
Fax Number	:	530-244-6005

Provider Business Practice Location Address
First Line	:	2121 AIRPARK DR
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-2433
Country	:	US
Telephone Number	:	530-244-6001
Fax Number	:	530-244-6005

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	04/28/2010

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