Provider Demographics
NPI:1114062809
Name:HART, ROBERT S (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:HART
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5549 US HIGHWAY 93 N
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MT
Mailing Address - Zip Code:59833-6845
Mailing Address - Country:US
Mailing Address - Phone:406-273-4923
Mailing Address - Fax:406-329-4174
Practice Address - Street 1:5549 OLD HIGHWAY 93
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MT
Practice Address - Zip Code:59833
Practice Address - Country:US
Practice Address - Phone:406-327-1918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT25811207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT011003448OtherMEDICARE - TYPE UNSPECIFIED