Individual
CASEY ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 W CHANDLER BLVD, CHANDLER, AZ 85226-3601
(505) 239-9644
Mailing address
10900 TANZANITE DR NW, ALBUQUERQUE, NM 87114-1853
(520) 631-3510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06263
AZ
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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