Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | A167849 | CA |
NPI | 1225484686 |
---|---|
Provider Name | Caitlin Robison |
First Address | Phoenix, AZ 85008 |
Second Address | La Mesa, CA 91942-7003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2016 |
Last Update Date | 17/07/2020 |