MEDICARE: ROBBIN CROMER-TYLER MD

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
1	208600000X	Surgery Physician	18600	AL
2	208600000X	Surgery Physician	6455	NV
3	208600000X	Surgery Physician	G87935	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1457352809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBBIN CROMER-TYLER MD

Provider Business Mailing Address
First Line	:	152 PIONEER LN
Second Line	:	SUITE F
City	:	BISHOP
State	:	CA
Zip	:	93514-2563
Country	:	US
Telephone Number	:	760-872-1606
Fax Number	:	760-872-3463

Provider Business Practice Location Address
First Line	:	152 PIONEER LN
Second Line	:	SUITE F
City	:	BISHOP
State	:	CA
Zip	:	93514-2563
Country	:	US
Telephone Number	:	760-872-1606
Fax Number	:	760-872-3463

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	02/17/2009

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Directions to “ ROBBIN CROMER-TYLER MD” Practice Location

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