Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 6785 | HI |
Y | 208600000X | Surgeon | 6785 | HI |
NPI | 1023034139 |
---|---|
Provider Name | Gene L Robinson |
First Address | Kodiak, AK 99615-6602 |
Second Address | Kodiak, AK 99615-6602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 25/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00D0063349 | HMSA (01) | |
054955-01 | (05) | HI |
C63341 | LIMSA (01) | |
E78519 | (02) |