Individual
DR. JAMES WENDALL ROBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5601 PLANETA CT NE, ALBUQUERQUE, NM 87111-1416
(505) 821-3292
Mailing address
5601 PLANETA CT NE, ALBUQUERQUE, NM 87111-1416
(505) 821-3292
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
80241
NM
207N00000X
Dermatology Physician
Primary
NM80241
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070001336
RAILROAD MEDICARE
NM
05
—
207N00000X
—
NM
01
—
850305120
TRIWEST
NM
Enumeration date
04/12/2006
Last updated
09/02/2009
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