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Individual

MICHAEL LEE ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
516 E. NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1421
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1421

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
42812
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA00640
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
697782
AZ
05
97352080
CO
05
G8108
NM
Enumeration date
10/07/2005
Last updated
03/28/2012
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