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Individual

EDWARD TAN LOI ROBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8087
(334) 793-8191
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 793-8087
(334) 793-8191

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00027255
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009912928
AL
01
051545408
BCBS AL
AL
05
193923583B
GA
05
275736200
FL
Enumeration date
05/26/2006
Last updated
05/23/2008
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