Individual
DR. BRUCE DONALD ROBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1422 HWY 62 SW, MOUNTAIN HOME, AR 72653-4617
(870) 424-6634
(870) 424-6648
Mailing address
1422 HWY 62 SW, MOUNTAIN HOME, AR 72653-4617
(870) 424-6634
(870) 424-6648
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N8229
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130015521
MEDICARE RAILROAD
AR
05
—
131368002
—
AR
01
—
13174000040
QUALCHOICE HEALTH PLAN
AR
01
—
55483
BLUE CROSS BLUE SHIELD
AR
Enumeration date
03/08/2006
Last updated
06/24/2008
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