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NPI Code Detail

MEDICARE: ROBERT DAVID HILL DO

MEDICARE: ROBERT DAVID HILL DO
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
1207Q00000XFamily Medicine PhysicianR5A13MO

Other Identifiers

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

General Provider Information

NPI Number : 1538168133
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT DAVID HILL DO
Provider Business Mailing Address
First Line : 109 N BROADWAY ST
Second Line :
City : SOUTH WEST CITY
State : MO
Zip : 64863-9417
Country : US
Telephone Number : 417-762-3287
Fax Number : 417-762-3255
Provider Business Practice Location Address
First Line : 109 N BROADWAY ST
Second Line :
City : SOUTH WEST CITY
State : MO
Zip : 64863-9417
Country : US
Telephone Number : 417-762-3287
Fax Number : 417-762-3255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 10/13/2023

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