Organization
GLEN N ROBISON DPM PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN N ROBISON DPM (PRESIDENT)
(480) 985-1093
Entity
Organization
Contact information
Practice address
6242 E ARBOR AVE STE 116, MESA, AZ 85206-1309
(480) 985-1093
Mailing address
PO BOX 20610, MESA, AZ 85277-0610
(480) 985-1093
(480) 296-7665
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4315630001
DMERC
AZ
01
—
F04326
PHP AHCCCS
AZ
Enumeration date
10/09/2006
Last updated
06/03/2025
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