Healthcare Provider Details

I. General information

NPI: 1114078912
Provider Name (Legal Business Name): DONALD WALTER ROBINSON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 04/06/2023
Certification Date: 11/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HHC, ASG-KU ATTN: MEDICAL
APO AE
09366
US

IV. Provider business mailing address

HHC, ASG-KU ATTN: MEDICAL
APO AE
09366
US

V. Phone/Fax

Practice location:
  • Phone: 706-239-9678
  • Fax:
Mailing address:
  • Phone: 706-239-9678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License NumberOS044074
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberOS044074
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberOS9975
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: