Individual
DR. THOMAS D. ROBBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3605 COUNTRY CLUB DR, JEFFERSON CITY, MO 65109-1070
(573) 635-5264
(573) 636-3045
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 634-7423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3E37
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202143905
—
MO
01
—
CD6058
RAILROAD GROUP
MO
01
—
P00192346
RAILROAD MEDICARE
MO
Enumeration date
01/25/2006
Last updated
02/04/2020
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