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NPI Code Detail

MEDICARE: GREG ROBINSON

MEDICARE:   GREG  ROBINSON
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1376815936
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREG ROBINSON
Provider Business Mailing Address
First Line : 8450 W CHARLESTON BLVD
Second Line : APT. 1052
City : LAS VEGAS
State : NV
Zip : 89117-9010
Country : US
Telephone Number : 937-838-6843
Fax Number :
Provider Business Practice Location Address
First Line : 8450 W CHARLESTON BLVD
Second Line : APT. 1052
City : LAS VEGAS
State : NV
Zip : 89117-9010
Country : US
Telephone Number : 937-838-6843
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2012
Last Update Date : 01/29/2012

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Directions to “ GREG ROBINSON ” Practice Location

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