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NPI Code Detail

MEDICARE: M ROBERT HILL MD

MEDICARE: M ROBERT HILL 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
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100005690032OTHERAETNA PRIV PRACTICE
2110003130OTHERMORR MCR PRIV PRACTICE
3181103OTHERBCBS PRIV PRACTICE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225079791
Entity Type Code : Organization
Provider Name (Legal Business Name) : M ROBERT HILL MD
Provider Business Mailing Address
First Line : 6125 CLAYTON AVE
Second Line : STE 101
City : SAINT LOUIS
State : MO
Zip : 63139-3265
Country : US
Telephone Number : 314-768-3220
Fax Number : 314-768-5607
Provider Business Practice Location Address
First Line : 6125 CLAYTON AVE
Second Line : STE 101
City : SAINT LOUIS
State : MO
Zip : 63139-3265
Country : US
Telephone Number : 314-768-3220
Fax Number : 314-768-5607
Authorized Official
Title or Position : PHYSICIAN
Name : DR. M ROBERT HILL
Credential : MD
Telephone Number : 314-768-3220
Provider Enumeration Date : 06/08/2006
Last Update Date : 08/13/2008

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Directions to “M ROBERT HILL MD ” Practice Location

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