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Contact Information

ROBERT M DAUGHERTY, DPM
1854 BROADWAY ST
CAPE GIRARDEAU, MO63701-4553
 Phone: 573-271-2923
 Fax: 888-523-2655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ROBERT M DAUGHERTY · (Male)

NPI Number 1427025311
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/01/2006
Last updated 11/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 250
  • FL License # PO4199
  • IL License # 016005170
  • MO License # 2004013247
  • IL Medicaid 016005170
  • MO Medicaid 307288506
  • MO Medicaid 307288514
  • MO Other 197250 BLUE CROSS BLUE SHEILD
  • MO Other 5621628 FIRST HEALTH
  • MO Other 706133 HEALTHLINK
  • MO Other 2474055 UNITEDHEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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