Doctor Name: | STEVEN ROBINSON |
NPI Number: | 1003289489 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 810 W Columbia St Oberlin, KS - 677492450 |
Business Phone Number: | 7854752208 |
Business Fax Number: | |
Mailing Address: | 212 Maple Ave, Apt 26 OAKLEY |
State: | KS |
Postal Code: | 677481220 |
Phone Number: | 7856728193 |
Fax Number: | 7856728103 |
NPI Enumeration Date: | 11/05/2015 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |