Individual
MITCH T ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1501 HILAND AVE STE C, BURLEY, ID 83318-2682
(208) 677-6080
(208) 677-6090
Mailing address
1501 HILAND AVE STE C, BURLEY, ID 83318-2682
(208) 677-6080
(208) 677-6090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1001
ID
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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