MEDICARE: MERLE STANLEY ROBBOY MD

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	207V00000X	Obstetrics & Gynecology Physician	C28448	CA
2	207V00000X	Obstetrics & Gynecology Physician	35028296	OH

General Provider Information

NPI Number	:	1639122799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERLE STANLEY ROBBOY MD

Provider Business Mailing Address
First Line	:	355 PLACENTIA AVE
Second Line	:	SUITE 309
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3303
Country	:	US
Telephone Number	:	949-722-7170
Fax Number	:	949-722-7990

Provider Business Practice Location Address
First Line	:	355 PLACENTIA AVE
Second Line	:	SUITE 309
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3303
Country	:	US
Telephone Number	:	949-722-7170
Fax Number	:	949-722-7990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	02/16/2012

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