Healthcare Provider Details

I. General information

NPI: 1588748933
Provider Name (Legal Business Name): EDWIN D ROBINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 10/12/2020
Certification Date: 10/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W NORTH RIVER DR STE 100
SPOKANE WA
99201-2262
US

IV. Provider business mailing address

508 W 6TH AVE SUITE 500
SPOKANE WA
99204
US

V. Phone/Fax

Practice location:
  • Phone: 509-462-7070
  • Fax: 509-462-7071
Mailing address:
  • Phone: 509-462-7070
  • Fax: 509-462-7071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD00035964
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: