Healthcare Provider Details
I. General information
NPI: 1548232374
Provider Name (Legal Business Name): ROBSON F ARAUJO DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/06/2006
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3460 US HIGHWAY 431 STE B
ALBERTVILLE AL
35950-0203
US
IV. Provider business mailing address
3460 US HIGHWAY 431 STE B
ALBERTVILLE AL
35950-0203
US
V. Phone/Fax
- Phone: 256-840-4810
- Fax: 256-840-4815
- Phone: 256-840-4810
- Fax: 256-840-4815
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0131X |
| Taxonomy | Foot Surgery Podiatrist |
| License Number | 173 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | 173 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: