Organization Name: | DENNIS E. ROBINSON D.O. |
NPI Number: | 1023485752 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENNIS E. ROBINSON (OWNER/PHYSICIAN) |
Mailing Address: | 487 Pomme De Terre Dr. Marshfield |
State: | MO US |
Postal Code: | 65706 |
Phone Number: | 4175897875 |
Fax Number: | 4174687978 |
NPI Enumeration Date: | 08/28/2015 |
NPI Last Update Date: | 08/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 2015029819 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |