Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 11472 | AL |
NPI | 1114022159 |
---|---|
Provider Name | Dr. Cliff Robinson JR. |
First Address | Montgomery, AL 36116-6331 |
Second Address | Montgomery, AL 36109-3725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 08/07/2007 |