Provider Demographics
NPI:1982683538
Name:HEVEL, ROBERT W (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:HEVEL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 2580
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65801-2580
Mailing Address - Country:US
Mailing Address - Phone:417-829-4620
Mailing Address - Fax:417-829-4414
Practice Address - Street 1:1065 STATE HIGHWAY 248
Practice Address - Street 2:STE 200
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-8398
Practice Address - Country:US
Practice Address - Phone:417-337-9808
Practice Address - Fax:417-337-9827
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2012-07-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR5A12207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO431560263OtherTRICARE
MOP01036361OtherRR MCR
AR191432003Medicaid
MO1982683538Medicaid
MO431560263OtherTRICARE