Provider Demographics
NPI:1053589291
Name:ROBERT M HUSTER M.D., P.C.
Entity type:Organization
Organization Name:ROBERT M HUSTER M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ALLSBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-781-9620
Mailing Address - Street 1:1500 A HWY STE C
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-7161
Mailing Address - Country:US
Mailing Address - Phone:816-781-9620
Mailing Address - Fax:
Practice Address - Street 1:1500 A HWY STE C
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-7161
Practice Address - Country:US
Practice Address - Phone:816-781-9620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9543207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS19262017OtherBLUE CROSS
KS19263015OtherBLUE CROSS
KS19263015OtherBLUE CROSS