Individual
MARK CHRISTIAN ROBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1982 E VISCOUNTI CV, SANDY, UT 84093-1059
(612) 990-6018
Mailing address
1982 E VISCOUNTI CV, SANDY, UT 84093-1059
(612) 990-6018
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
170377-1205
UT
208000000X
Pediatrics Physician
170377-8905
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348321500
—
MN
Enumeration date
08/16/2005
Last updated
02/05/2020
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