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Individual

DR. ROBYN L. ROGIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3268 TETON DR, SALT LAKE CITY, UT 84109-2379
(111) 111-1111
Mailing address
3268 TETON DR, SALT LAKE CITY, UT 84109-2379

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
172869-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
870532396007
UT
Enumeration date
10/01/2006
Last updated
07/08/2007
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