Individual
BETHANY J ROBINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1414 9TH AVE, ALTOONA, PA 16602-2415
(814) 946-1655
Mailing address
1414 9TH AVE, ALTOONA, PA 16602-2415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055569
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103269398
—
PA
01
—
13677740
CAQH
—
Enumeration date
07/17/2012
Last updated
05/14/2020
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