Healthcare Provider Details

I. General information

NPI: 1558525337
Provider Name (Legal Business Name): GEORGE F ROBIE JR M D PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2008
Last Update Date: 11/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 WEST SECOND STREET SUITE D
ELK CITY OK
73644-4328
US

IV. Provider business mailing address

1900 WEST SECOND STREET SUITE D
ELK CITY OK
73644-4328
US

V. Phone/Fax

Practice location:
  • Phone: 580-225-5551
  • Fax: 580-225-5553
Mailing address:
  • Phone: 580-225-5551
  • Fax: 580-225-5553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number14162
License Number StateOK

VIII. Authorized Official

Name: DR. GEORGE FIELDING ROBIE JR.
Title or Position: PHYSICIAN
Credential: M. D.
Phone: 580-225-5551