MEDICARE: ROBERT SCOTT HOUSER D.O.

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	208200000X	Plastic Surgery Physician	34006992	OH

General Provider Information

NPI Number	:	1659343994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT SCOTT HOUSER D.O.

Provider Business Mailing Address
First Line	:	41 COMMERCE PARK DR
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-8348
Country	:	US
Telephone Number	:	614-890-5565
Fax Number	:	614-890-5561

Provider Business Practice Location Address
First Line	:	41 COMMERCE PARK DR
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-8348
Country	:	US
Telephone Number	:	614-890-5565
Fax Number	:	614-890-5561

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

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	09/16/2021

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