Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 2019-00092 | NC |
N | 207P00000X | Emergency Physician | 59931 | AZ |
N | 207P00000X | Emergency Physician | 63707 | MN |
N | 207P00000X | Emergency Physician | M-9382 | ID |
N | 207P00000X | Emergency Physician | MD2019-0471 | NM |
Y | 207P00000X | Emergency Physician | MD60865850 | WA |
NPI | 1003038803 |
---|---|
Provider Name | Robyn Hitchcock |
First Address | Albuquerque, NM 87125-6666 |
Second Address | Moses Lake, WA 98837-1820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 23/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2006702 | (05) | WA |