Individual
MR. ROBIN F MACDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4626 E. SHEA BLVD, SUITE C230, PHOENIX, AZ 85028
(602) 314-5119
(602) 368-4071
Mailing address
4626 E. SHEA BLVD, SUITE C230, PHOENIX, AZ 85028
(602) 314-5119
(602) 368-4071
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
2830
AZ
207QS0010X
Sports Medicine (Family Medicine) Physician
2830
AZ
Other
Enumeration date
06/01/2006
Last updated
02/07/2011
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