Healthcare Provider Details

I. General information

NPI: 1992269997
Provider Name (Legal Business Name): ROBYN E SEE ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2019
Last Update Date: 01/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15950 N CIVIC CENTER PLZ
SURPRISE AZ
85374-7464
US

IV. Provider business mailing address

23860 N 81ST DR
PEORIA AZ
85383-5612
US

V. Phone/Fax

Practice location:
  • Phone: 785-821-4885
  • Fax:
Mailing address:
  • Phone: 785-821-4885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number204C00000X
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: