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NPI Code Detail

MEDICARE: ROBERT R DESMOND MD

MEDICARE: ROBERT R DESMOND 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
1207P00000XEmergency Medicine Physician35.026203OH
2207Q00000XFamily Medicine Physician35.026203OH

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 : 1982683660
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT R DESMOND MD
Provider Business Mailing Address
First Line : 745 HASKINS RD
Second Line : SUITE B
City : BOWLING GREEN
State : OH
Zip : 43402-1637
Country : US
Telephone Number : 419-353-7069
Fax Number : 419-353-7076
Provider Business Practice Location Address
First Line : 838 E WOOSTER ST
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-3186
Country : US
Telephone Number : 419-372-2271
Fax Number : 419-354-3222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 10/11/2018

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