Individual
RYAN T ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 N WILLIAM KUMPF BLVD, PEORIA, IL 61605-2507
(309) 676-5546
(309) 676-5045
Mailing address
303 N WILLIAM KUMPF BLVD, PEORIA, IL 61605-2507
(309) 676-5546
(309) 676-5045
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-111823
IL
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
036111823
IL
Other
Enumeration date
08/25/2006
Last updated
07/13/2010
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