Healthcare Provider Details

I. General information

NPI: 1194030841
Provider Name (Legal Business Name): PAMELA H ROBBINS A.O., D.O.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2010
Last Update Date: 05/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 NORTH SCOTTSDALE ROAD SUITE 215
SCOTTSDALE AZ
85251
US

IV. Provider business mailing address

PO BOX 10456
SCOTTSDALE AZ
85271-0456
US

V. Phone/Fax

Practice location:
  • Phone: 480-609-4244
  • Fax: 480-609-4382
Mailing address:
  • Phone: 480-609-4244
  • Fax: 480-609-4382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP2813
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number0987
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: