MEDICARE: ROBBINS CHIROPRACTIC PC

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1255804217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBBINS CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	1625 W INA RD STE 117
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-1975
Country	:	US
Telephone Number	:	520-690-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 W INA RD STE 117
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-1975
Country	:	US
Telephone Number	:	520-690-1100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MATTHEW D ROBBINS
Credential	:	DC
Telephone Number	:	520-690-1100

Provider Enumeration Date	:	01/02/2019
Last Update Date	:	01/02/2019

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