Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 291 | AZ |
N | 213ES0131X | Foot Surgery | E3452 | CA |
NPI | 1073529145 |
---|---|
Provider Name | Richard John Robinson |
First Address | Whiteriver, AZ 85941-0860 |
Second Address | Whiteriver, AZ 85941 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 12/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1295993376 | (05) | AZ |
1629236716 | (05) | AZ |
1780614008 | (05) | AZ |
1871523191 | (05) | AZ |
503822 | (05) | AZ |
U06582 | (02) | AZ |