Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | E-13537 | AR |
NPI | 1316331366 |
---|---|
Provider Name | Leigh Robinson |
First Address | Pine Bluff, AR 71613-2650 |
Second Address | Pine Bluff, AR 71603-6365 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2015 |
Last Update Date | 13/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E-13537 | AR LIC (01) | AR |