NPI 1194074302 DR. ROBERT FRANKLIN DETTMER M.D. IRONTON MO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Robert Franklin Dettmer - NPI: 1194074302

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. ROBERT FRANKLIN DETTMER
NPI Number: 1194074302
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number: 28191M.D.
Business Practice Address: 3 Longwood Lane
Ironton, MO - 636500307
Business Phone Number: 5735462741
Business Fax Number: 5735462741
Mailing Address: Po Box 307, #3 Longwood Lane
IRONTON
State: MO
Postal Code: 636500307
Phone Number: 5735462741
Fax Number: 5735462741
NPI Enumeration Date: 09/04/2012
NPI Last Update Date: 09/04/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number: 28191M.D.
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MO
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


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