Individual
MR. MONT C ROBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2950 N CHURCH ST STE 200, LAYTON, UT 84040-6590
(801) 771-7700
(801) 771-7799
Mailing address
PO BOX 281221, ATLANTA, GA 30384-1221
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
59395211206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107004880101
IHC
UT
05
—
870653164002
—
UT
Enumeration date
10/11/2005
Last updated
02/09/2022
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