Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 000399 | MO |
Y | 222Z00000X | Podiatrist | 000399 | MO |
NPI | 1023110699 |
---|---|
Provider Name | Dr. David Arthur Robinson |
First Address | Kansas City, MO 64131-1598 |
Second Address | Kansas City, MO 64131-1598 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T42418 | (02) |