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Individual

DAN EARL ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 690-0394
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 690-3094

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P-204
ID

Other

Enumeration date
05/03/2007
Last updated
02/27/2013
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