Provider Demographics
NPI:1992764252
Name:CLICK, ROBERT REED JR (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:REED
Last Name:CLICK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 820
Mailing Address - Street 2:
Mailing Address - City:FORSYTH
Mailing Address - State:MO
Mailing Address - Zip Code:65653-0820
Mailing Address - Country:US
Mailing Address - Phone:417-546-2401
Mailing Address - Fax:417-546-2409
Practice Address - Street 1:15449 US HWY 160
Practice Address - Street 2:
Practice Address - City:FORSYTH
Practice Address - State:MO
Practice Address - Zip Code:65653
Practice Address - Country:US
Practice Address - Phone:417-546-2401
Practice Address - Fax:417-546-2409
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010019847207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX129348203Medicaid
82G228Medicare ID - Type Unspecified
TX129348203Medicaid