Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 2378 | AZ |
Y | 207RP1001X | Pulmonary Disease | 2378 | AZ |
N | 207RS0012X | Sleep Medicine | 2378 | AZ |
NPI | 1003809930 |
---|---|
Provider Name | Dr. Robert R Orr |
First Address | Peoria, AZ 85381-4820 |
Second Address | Peoria, AZ 85381-4872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2005 |
Last Update Date | 24/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
080124734 | RAILROAD MEDICARE (01) | AZ |
356966 | (05) | AZ |
E45441 | (02) | AZ |