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NPI Code Detail

MEDICARE: CLYN A ROBINSON M.D.

MEDICARE: CLYN A ROBINSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician5568094-1205UT

General Provider Information

NPI Number : 1033117114
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLYN A ROBINSON M.D.
Provider Business Mailing Address
First Line : 1954 FORT UNION BLVD STE 101
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-6882
Country : US
Telephone Number : 801-993-9512
Fax Number : 801-733-5618
Provider Business Practice Location Address
First Line : 1050 E SOUTH TEMPLE
Second Line : DEPARTMENT OF ANESTHESIA
City : SALT LAKE CITY
State : UT
Zip : 84102-1507
Country : US
Telephone Number : 801-350-4700
Fax Number : 801-350-4406
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 07/08/2007

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