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Individual

ERIC RANDY ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1157 N 300 W STE 201, PROVO, UT 84604-6124
(801) 357-1200
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7638645-1205
UT
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
7638645-1205
UT

Other

Enumeration date
07/02/2007
Last updated
09/09/2021
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