Individual
HAL B ROBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 818-0563
(228) 818-0519
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 255-7286
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R861436
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01951805
—
MS
Enumeration date
07/17/2007
Last updated
06/13/2018
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