Provider Demographics
NPI:1609136829
Name:HILTY, ROBERT BUTLER (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BUTLER
Last Name:HILTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6831 ROSE GLEN DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-1392
Mailing Address - Country:US
Mailing Address - Phone:937-428-6465
Mailing Address - Fax:937-428-6465
Practice Address - Street 1:6831 ROSE GLEN DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-1392
Practice Address - Country:US
Practice Address - Phone:937-428-6465
Practice Address - Fax:937-428-6465
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35027457207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology