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Robert Blue, DO

Surgery in Jb Andrews, MD. Individual provider (NPI-1).

NPI number1144632142
StatusActive
Last updated in NPPESJun 25, 2024

Details

NPI
1144632142
Entity type
Individual (NPI-1)
Name
Robert Blue
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
May 24, 2014
Certification date
Jun 25, 2024
Last updated
Jun 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery1458NEYes

Practice location

1060 W Perimeter Rd
Jb Andrews, MD 20762-6602

Phone 888-999-1212

Mailing address

1060 W Perimeter Rd
Jb Andrews, MD 20762-6602

Other practice locations

301 Fisher St Rm 1g319
81 Msgs/Sgcq
Keesler Afb, MS 39534-2508

Phone 228-376-5571

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