=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821266271
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WILLIAM B. ROBEY, M.D., P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2008
-----------------------------------------------------
Last Update Date | 02/19/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10240 W INDIAN SCHOOL RD STE 155
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85037-5904
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-385-7900
-----------------------------------------------------
Fax | 623-792-1233
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10240 W INDIAN SCHOOL RD STE 155
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85037-5904
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-385-7900
-----------------------------------------------------
Fax | 623-792-1233
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | GENERAL MANAGER
-----------------------------------------------------
Name | BARBARA J GARNO
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 623-846-7553
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 3919MD
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------