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Individual

EARL GLEN ROBBINS II

Active
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Individual

EARL GLEN ROBBINS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
31908
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000052178
ANTHEM PIN
KY
01
0169
LEXINGTON CLINIC MCR GROUP ID
KY
05
64319080
KY
01
65923740
LEXINGTON CLINIC MEDICAID GROUP ID
KY
01
K022190
MEDICARE PTAN
KY
Enumeration date
12/28/2005
Last updated
05/07/2018
Update your record

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