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Individual

DR. TIFFANY A ROBAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
505 CAMINO DE LOS MARQUEZ, SANTA FE, NM 87505-1837
(505) 405-8423
(505) 485-0641
Mailing address
3201 ZAFARANO DR STE C PMB 249, SANTA FE, NM 87507
(505) 405-8423
(505) 485-0641

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2022-0143
NM
207QS0010X
Sports Medicine (Family Medicine) Physician
125.075065
IL
390200000X
Student in an Organized Health Care Education/Training Program
FL

Other

Enumeration date
03/22/2019
Last updated
06/06/2024
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