Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 201 | AL |
NPI | 1073598272 |
---|---|
Provider Name | Dr. David Vance Robinson |
First Address | Northport, AL 35473-5174 |
Second Address | Northport, AL 35473-5174 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 07/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U72541 | (02) | AL |