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NPI Code Detail

MEDICARE: ROBIN KLOTH M.D.

MEDICARE: ROBIN KLOTH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianMD.MD.60001654WA
2207L00000XAnesthesiology Physician45355AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104827294
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN KLOTH M.D.
Provider Business Mailing Address
First Line : 4729 E SUNRISE DR # 422
Second Line :
City : TUCSON
State : AZ
Zip : 85718-4534
Country : US
Telephone Number : 520-269-0454
Fax Number :
Provider Business Practice Location Address
First Line : 1625 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-694-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 10/11/2023

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