Provider Demographics
NPI:1306812904
Name:MAJOR, ROBERT HAROLD (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HAROLD
Last Name:MAJOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:SUITE 106
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-226-0112
Mailing Address - Fax:515-226-0208
Practice Address - Street 1:119 19TH ST
Practice Address - Street 2:SUITE 106
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-4226
Practice Address - Country:US
Practice Address - Phone:515-226-0112
Practice Address - Fax:515-226-0208
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2012-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA25404207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA25797OtherBLUE CROSS
IAIA0102OtherJOHN DEERE
IA1236604Medicaid
IA25797Medicare ID - Type Unspecified
IA1236604Medicaid