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NPI Code Detail

MEDICARE: GLENN B. ROBBINS JR. D.O.

MEDICARE: GLENN B. ROBBINS JR. D.O.
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
12084N0400XNeurology Physician32785MO

Other Identifiers

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

General Provider Information

NPI Number : 1992705321
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENN B. ROBBINS JR. D.O.
Provider Business Mailing Address
First Line : 800 W JEFFERSON ST
Second Line :
City : KIRKSVILLE
State : MO
Zip : 63501-1443
Country : US
Telephone Number : 660-626-2182
Fax Number : 660-626-2426
Provider Business Practice Location Address
First Line : 800 W JEFFERSON ST
Second Line :
City : KIRKSVILLE
State : MO
Zip : 63501-1443
Country : US
Telephone Number : 660-626-2182
Fax Number : 660-626-2426
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 08/16/2016

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