Provider Demographics
NPI:1548246333
Name:EGGERS, ROBERT L (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:EGGERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:225 PRAIRIE VIEW DR
Mailing Address - Street 2:APT 4107
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-7114
Mailing Address - Country:US
Mailing Address - Phone:515-222-3059
Mailing Address - Fax:
Practice Address - Street 1:1215 PLEASANT ST
Practice Address - Street 2:SUITE 400
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1416
Practice Address - Country:US
Practice Address - Phone:515-241-5722
Practice Address - Fax:515-241-4403
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA17330207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0025858Medicaid
IA17330OtherTRICARE PROVIDER #
IAIA0108OtherJOHN DEERE PROVIDER #
IA4285OtherMIDLANDS PROVIDER #
IA06011OtherBLUE SHIELD PROVIDER #
IAIA0108OtherJOHN DEERE PROVIDER #
IA06011OtherBLUE SHIELD PROVIDER #