Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 7638645-1205 | UT |
Y | 207QS0010X | Family Doctor - Sports Medicine | 7638645-1205 | UT |
NPI | 1265639223 |
---|---|
Provider Name | Eric Randy Robinson |
First Address | Salt Lake City, UT 84127-0128 |
Second Address | Provo, UT 84604-6124 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 09/09/2021 |