Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 5432 | AL |
NPI | 1053574434 |
---|---|
Provider Name | Dr. Joshua Michael Robinson |
First Address | Cullman, AL 35055 |
Second Address | Cullman, AL 35055 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 01/12/2015 |