Individual
DAVE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1236 BOND AVE STE B, REXBURG, ID 83440
(208) 701-0277
(208) 701-0294
Mailing address
1236 BOND AVE STE B, REXBURG, ID 83440-3503
(208) 701-0277
(208) 701-0294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1376
ID
Other
Enumeration date
07/12/2013
Last updated
09/23/2019
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