Healthcare Provider Details
I. General information
NPI: 1760546311
Provider Name (Legal Business Name): EDWIN ROBINS MD PS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/20/2006
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 #500
SPOKANE WA
99204-2770
US
V. Phone/Fax
- Phone: 509-462-7070
- Fax: 509-462-7071
- Phone: 509-462-7070
- Fax: 509-462-7071
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EDWIN
D
ROBINS
Title or Position: PRESIDENT
Credential: MD
Phone: 509-462-7070