Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 13926 | MO |
NPI | 1013211275 |
---|---|
Provider Name | Dr. William Scott Robinson |
First Address | Columbia, MO 65203-6368 |
Second Address | Columbia, MO 65203-6368 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2011 |
Last Update Date | 03/01/2011 |