Individual
ROBYN FOSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1325 N LITCHFIELD RD STE 110, GOODYEAR, AZ 85395-1214
(623) 935-9494
Mailing address
1617 N WASHINGTON, MAGNOLIA, AR 71753-2046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61517
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716046242
—
AR
Enumeration date
06/20/2017
Last updated
10/22/2020
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