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NPI Code Detail

MEDICARE: MR. CRAIG LEE ROBINSON PA-C

MEDICARE: MR. CRAIG LEE ROBINSON PA-C
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
1363AS0400XSurgical Physician AssistantPA.0000669CO
2363A00000XPhysician AssistantPA.0000669CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2007788OTHERCOKAISER COMMERCIAL NUMBER

General Provider Information

NPI Number : 1114996527
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CRAIG LEE ROBINSON PA-C
Provider Business Mailing Address
First Line : 10350 E DAKOTA AVE
Second Line :
City : DENVER
State : CO
Zip : 80247-1314
Country : US
Telephone Number : 303-338-4545
Fax Number :
Provider Business Practice Location Address
First Line : 1375 E 19TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80218-1114
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 01/21/2022

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