Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 12229872-1205 | UT |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 12229872-1205 | UT |
NPI | 1093136913 |
---|---|
Provider Name | Michael A. Robbins |
First Address | Salt Lake City, UT 84108-1200 |
Second Address | Salt Lake City, UT 84108-1200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2013 |
Last Update Date | 16/11/2021 |