Individual
ROBIN E ACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1849 FAIRMONT LN, EDMOND, OK 73013-2938
(405) 659-4120
Mailing address
1849 FAIRMONT LN, EDMOND, OK 73013-2938
(405) 659-4120
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14268
OK
208D00000X
General Practice Physician
14268
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100217640D
—
OK
Enumeration date
03/10/2006
Last updated
10/08/2015
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