Individual
DR. MARC SUNE ROBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-8156
Mailing address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-8156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4750247-1204
UT
2083A0100X
Aerospace Medicine Physician
20A 6044
CA
2083A0100X
Aerospace Medicine Physician
4750247-1204
UT
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
4750247-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00708491
MEDICARE RAILROAD
UT
Enumeration date
09/28/2005
Last updated
09/22/2011
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