Provider Demographics
NPI:1255695391
Name:DENTON, ROBERT MICHAEL
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MICHAEL
Last Name:DENTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1102 W. 32ND ST
Mailing Address - Street 2:FREEMAN HEALTH SYSTEM
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-3599
Mailing Address - Country:US
Mailing Address - Phone:417-598-0077
Mailing Address - Fax:417-347-9015
Practice Address - Street 1:1102 W. 32ND ST
Practice Address - Street 2:FREEMAN HEALTH SYSTEM
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-3599
Practice Address - Country:US
Practice Address - Phone:417-598-0077
Practice Address - Fax:417-347-9015
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant