Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 2006037805 | MO |
N | 207QA0505X | Family Doctor - Adult Medicine | 5101009620 | MI |
NPI | 1245485408 |
---|---|
Provider Name | Dr. Leslie Arroyo Robins |
First Address | Saint Charles, MO 63301-4078 |
Second Address | Eureka, MO 63025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2008 |
Last Update Date | 25/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0158232005 | BC/BS (01) | MI |
046091 | AOA (01) | |
074417 | ABFM (01) | |
12-09714 | MRO (01) | |
1245485408 | (05) | MO |
126417 | ACOEM (01) | |
2006037805 | MO STATE LICENSE (01) | MO |
2922848-11 | (05) | MI |
478430 | COHC (01) | |
5101009620 | MI CONTROLLED SUBSTANCE LICENSE (01) | MI |
5101009620 | MI STATE LICENSE (01) | MI |
7216711 | AAFP (01) | |
922915884 | MO BNDD (01) | MO |
E49529 | UPIN (01) | MI |
FR2735883 | FEDERAL DEA (01) | MO |