Healthcare Provider Details

I. General information

NPI: 1255036448
Provider Name (Legal Business Name): ROBERT DAVID ROBL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 DEBARR RD
ANCHORAGE AK
99508-2997
US

IV. Provider business mailing address

2801 DEBARR RD
ANCHORAGE AK
99508-2997
US

V. Phone/Fax

Practice location:
  • Phone: 907-276-1131
  • Fax:
Mailing address:
  • Phone: 907-299-9332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number254538
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: