Individual
MR. ROBIN A LISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, EMERGENCY MEDICINE, LEBANON, NH 03756
(603) 650-7254
Mailing address
ONE MEDICAL CENTER DRIVE, EMERGENCY MEDICINE, LEBANON, NH 03756-0001
(603) 650-7254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1099
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3101357
—
NH
05
—
9000774
—
VT
Enumeration date
05/12/2015
Last updated
06/05/2018
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