MEDICARE: DR. RON M ROBINSON D.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
1	111N00000X	Chiropractor	06858	IA

General Provider Information

NPI Number	:	1508830233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RON M ROBINSON D.C.

Provider Business Mailing Address
First Line	:	2140 NORCOR AVE
Second Line	:	SUITE D
City	:	CORALVILLE
State	:	IA
Zip	:	52241-9736
Country	:	US
Telephone Number	:	319-354-4186
Fax Number	:	253-669-2703

Provider Business Practice Location Address
First Line	:	2140 NORCOR AVE
Second Line	:	STE D
City	:	CORALVILLE
State	:	IA
Zip	:	52241-9736
Country	:	US
Telephone Number	:	319-354-4186
Fax Number	:	253-669-2703

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

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	07/22/2015

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