Healthcare Provider Details

I. General information

NPI: 1659331718
Provider Name (Legal Business Name): DARRYL A ROBBINS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 07/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1085 BEECHER CROSSING NORTH SUITE A
GAHANNA OH
43230
US

IV. Provider business mailing address

1085 BEECHER CROSSING NORTH SUITE A
GAHANNA OH
43230
US

V. Phone/Fax

Practice location:
  • Phone: 614-741-8300
  • Fax: 614-741-8271
Mailing address:
  • Phone: 614-741-8300
  • Fax: 614-741-8271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34.002315
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: