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NPI Code Detail

MEDICARE: DR. ROBERT D VOLLER MD

MEDICARE: DR. ROBERT D VOLLER 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
1174400000XSpecialist07755MS
2207L00000XAnesthesiology Physician07755MS

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 : 1902807050
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT D VOLLER MD
Provider Business Mailing Address
First Line : PO BOX 1806
Second Line :
City : COLUMBUS
State : MS
Zip : 39703-1806
Country : US
Telephone Number : 662-327-6820
Fax Number : 662-327-9388
Provider Business Practice Location Address
First Line : 2500 5TH ST N
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-2008
Country : US
Telephone Number : 662-327-6820
Fax Number : 662-327-9388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 01/24/2013

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Directions to “ DR. ROBERT D VOLLER MD” Practice Location

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