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Individual
ROBERT SIDNEY PYNOOS
Active
Individual
ROBERT SIDNEY PYNOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
G36252
CA
2084P0800X
Psychiatry Physician
Primary
G36252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G362520
BLUE SHIELD
CA
Enumeration date
07/27/2006
Last updated
07/19/2024
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