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Organization

BRAD E ROBINSON MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRAD ERIC ROBINSON MD MPH (PRESIDENT)
(541) 229-4009
Entity
Organization

Contact information

Practice address
2550 NW EDENBOWER BLVD, SUITE 104, ROSEBURG, OR 97471-8829
(541) 229-4009
(541) 229-3347
Mailing address
2550 NW EDENBOWER BLVD, SUITE 104, ROSEBURG, OR 97471-8829
(541) 229-4009
(541) 229-3347

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD 16486
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009394
OR
Enumeration date
10/26/2006
Last updated
09/02/2011
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