Individual
JACOB ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 W 465 N STE 604, PROVIDENCE, UT 84332-8006
(435) 753-1600
Mailing address
560 W 465 N STE 604, PROVIDENCE, UT 84332-8006
(435) 753-1600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
011550
AZ
207L00000X
Anesthesiology Physician
Primary
14278434-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205416310
—
UT
Enumeration date
04/12/2021
Last updated
06/19/2026
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