Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 11758 | MS |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 12709R | LA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 18032 | AL |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 36719 | CO |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 39259 | TN |
NPI | 1184661373 |
---|---|
Provider Name | Dr. Robert William Naef III |
First Address | Jackson, MS 39202-1651 |
Second Address | Jackson, MS 39202-1651 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 25/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000027555 | (05) | AL |
05026733 | (05) | MS |
1542865 | (05) | LA |
27826317 | (05) | CO |
7068048 | AETNA (01) | MS |
F87827 | (02) | MS |