Individual
TARA J. ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
108 WASHINGTON ST W STE 101, CHARLESTON, WV 25302-2344
(304) 345-4525
(304) 345-4527
Mailing address
108 WASHINGTON ST W STE 101, CHARLESTON, WV 25302-2344
(304) 345-4525
(304) 345-4527
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
1077
WV
363AM0700X
Medical Physician Assistant
Primary
1077
WV
Other
Enumeration date
11/03/2010
Last updated
02/08/2024
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