Doctor Name: | ROBIN E ACKER |
NPI Number: | 1184692576 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 14268 |
Business Practice Address: | 1849 Fairmont Ln Edmond, OK - 730132938 |
Business Phone Number: | 4056594120 |
Business Fax Number: | |
Mailing Address: | 1849 Fairmont Ln, EDMOND |
State: | OK |
Postal Code: | 730132938 |
Phone Number: | 4056594120 |
Fax Number: | |
NPI Enumeration Date: | 03/10/2006 |
NPI Last Update Date: | 10/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14268 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |