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NPI Code Detail

MEDICARE: DR. MARC SUNE ROBINS DO

MEDICARE:  DR. MARC SUNE ROBINS  DO
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
12083A0100XAerospace Medicine Physician20A 6044CA
2207Q00000XFamily Medicine Physician4750247-1204UT
32083A0100XAerospace Medicine Physician4750247-1204UT
42083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) Physician4750247-1204UT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00708491OTHERUTMEDICARE RAILROAD

General Provider Information

NPI Number : 1780671453
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC SUNE ROBINS DO
Provider Business Mailing Address
First Line : 1034 N 500 W
Second Line :
City : PROVO
State : UT
Zip : 84604-3380
Country : US
Telephone Number : 801-357-8156
Fax Number :
Provider Business Practice Location Address
First Line : 1034 N 500 W
Second Line :
City : PROVO
State : UT
Zip : 84604-3380
Country : US
Telephone Number : 801-357-8156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2005
Last Update Date : 09/22/2011

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Directions to “ DR. MARC SUNE ROBINS DO” Practice Location

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