Individual
JON R ROBISON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-1600
(435) 753-9521
Mailing address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-1600
(435) 753-9521
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
363085-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870550181001
—
UT
Enumeration date
05/11/2006
Last updated
07/08/2007
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